| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.99 | $348.26 | $1,700.00 | |
Aetna
| Professional | $200.62 | $231.91 | $346.08 | |
CareSource
| Facility | $239.75 | $269.70 | $293.83 | |
CareSource
| Professional | $134.02 | $261.19 | $261.19 | |
Cigna
| Facility | $256.99 | $256.99 | $256.99 | |
Cigna
| Professional | $218.00 | $340.17 | $665.04 | |
United
| Professional | $184.45 | $268.98 | $403.23 |