| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.94 | $381.01 | $457.22 | |
Aetna
| Professional | $228.61 | $249.94 | $259.08 | |
CareSource
| Facility | $335.29 | $457.22 | $533.41 | |
CareSource
| Professional | $365.77 | $365.77 | $411.49 | |
Cigna
| Facility | $247.66 | $448.71 | $914.37 | |
Cigna
| Professional | $1,469.18 | $1,469.18 | $1,469.18 | |
United
| Professional | $128.02 | $152.41 | $411.49 |