| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.91 | $266.63 | $319.95 | |
Aetna
| Professional | $159.97 | $174.91 | $181.31 | |
CareSource
| Facility | $234.63 | $319.95 | $373.28 | |
CareSource
| Professional | $255.96 | $255.96 | $287.95 | |
Cigna
| Facility | $173.31 | $265.93 | $639.87 | |
Cigna
| Professional | $192.86 | $208.51 | $1,028.10 | |
United
| Professional | $63.72 | $75.86 | $266.63 |