| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $489.78 | $489.78 | |
Aetna
| Professional | $229.09 | $263.03 | $380.19 | |
CareSource
| Facility | $436.52 | $436.52 | $457.09 | |
CareSource
| Professional | $323.59 | $389.05 | $537.03 | |
Cigna
| Facility | $269.15 | $588.84 | $977.24 | |
Cigna
| Professional | $426.58 | $1,548.82 | $1,548.82 | |
United
| Facility | $194.98 | $194.98 | $194.98 | |
United
| Professional | $138.04 | $144.54 | $407.38 |