| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.78 | $348.75 | $418.50 | |
Aetna
| Professional | $209.25 | $228.78 | $237.15 | |
CareSource
| Facility | $279.00 | $376.65 | $460.35 | |
CareSource
| Professional | $279.00 | $376.65 | $376.65 | |
Cigna
| Facility | $226.69 | $543.10 | $836.93 | |
Cigna
| Professional | $178.27 | $192.73 | $1,344.78 | |
United
| Professional | $61.89 | $97.65 | $231.28 |