| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.36 | $302.38 | $362.85 | |
Aetna
| Professional | $181.43 | $198.36 | $205.62 | |
CareSource
| Facility | $266.08 | $362.85 | $423.33 | |
CareSource
| Professional | $290.27 | $290.27 | $326.57 | |
Cigna
| Facility | $196.55 | $523.17 | $725.66 | |
Cigna
| Professional | $129.59 | $453.49 | $1,165.96 | |
United
| Professional | $108.86 | $145.13 | $477.79 |