| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.34 | $218.51 | $262.22 | |
Aetna
| Professional | $131.11 | $143.34 | $148.59 | |
CareSource
| Facility | $174.81 | $235.99 | $288.44 | |
CareSource
| Professional | $174.81 | $235.99 | $235.99 | |
Cigna
| Facility | $142.04 | $312.41 | $524.40 | |
Cigna
| Professional | $222.49 | $240.55 | $842.58 | |
United
| Professional | $73.53 | $87.41 | $253.87 |