| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.90 | $348.90 | $751.80 | |
Aetna
| Professional | $173.16 | $271.54 | $330.47 | |
BCBS
| Facility | $226.91 | $226.91 | $246.88 | |
CareSource
| Facility | $265.72 | $265.72 | $265.72 | |
Cigna
| Facility | $154.84 | $232.40 | $479.19 | |
Cigna
| Professional | $135.83 | $368.30 | $457.52 | |
United
| Professional | $102.65 | $237.43 | $420.36 |