| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.04 | $345.39 | $1,400.00 | |
Aetna
| Professional | $131.55 | $204.64 | $382.95 | |
CareSource
| Facility | $132.07 | $140.66 | $172.67 | |
CareSource
| Professional | $153.47 | $153.47 | $153.47 | |
Cigna
| Facility | $225.57 | $225.57 | $225.57 | |
Cigna
| Professional | $153.47 | $366.20 | $878.50 | |
United
| Professional | $240.67 | $346.88 | $560.99 |