| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.49 | $287.08 | $1,200.00 | |
Aetna
| Professional | $143.49 | $282.87 | $496.74 | |
CareSource
| Facility | $169.28 | $203.04 | $279.54 | |
CareSource
| Professional | $175.84 | $180.48 | $180.48 | |
Cigna
| Facility | $271.44 | $271.44 | $271.44 | |
Cigna
| Professional | $172.93 | $329.16 | $751.49 | |
United
| Professional | $260.67 | $399.88 | $567.61 |