| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.96 | $1,222.50 | $9,477.00 | |
Aetna
| Professional | $102.84 | $125.68 | $172.18 | |
CareSource
| Facility | $137.94 | $137.94 | $150.19 | |
CareSource
| Professional | $134.10 | $134.10 | $139.46 | |
Cigna
| Professional | $135.35 | $180.80 | $213.65 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $107.38 | $138.28 | $217.27 |