| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.31 | $226.57 | $1,400.00 | |
Aetna
| Professional | $126.47 | $202.61 | $284.68 | |
CareSource
| Facility | $145.80 | $160.76 | $175.16 | |
CareSource
| Professional | $133.03 | $155.69 | $245.54 | |
Cigna
| Facility | $233.79 | $233.79 | $233.79 | |
Cigna
| Professional | $145.12 | $246.20 | $614.53 | |
United
| Professional | $170.86 | $239.20 | $353.11 |