| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.94 | $327.25 | $1,400.00 | |
Aetna
| Professional | $82.44 | $143.78 | $404.89 | |
CareSource
| Facility | $92.42 | $103.94 | $113.25 | |
CareSource
| Professional | $100.67 | $100.67 | $319.19 | |
Cigna
| Facility | $148.19 | $148.19 | $148.19 | |
Cigna
| Professional | $92.86 | $260.00 | $670.44 | |
United
| Professional | $240.98 | $370.74 | $622.45 |