| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $489.78 | $489.78 | |
Aetna
| Professional | $229.09 | $263.03 | $380.19 | |
CareSource
| Facility | $446.68 | $446.68 | $446.68 | |
CareSource
| Professional | $398.11 | $398.11 | $398.11 | |
Cigna
| Facility | $275.42 | $524.81 | $977.24 | |
Cigna
| Professional | $128.82 | $1,584.89 | $1,584.89 | |
United
| Facility | $199.53 | $199.53 | $199.53 | |
United
| Professional | $138.04 | $147.91 | $407.38 |