| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $288.40 | $288.40 | |
Aetna
| Professional | $134.90 | $154.88 | $223.87 | |
CareSource
| Facility | $263.03 | $263.03 | $263.03 | |
CareSource
| Professional | $234.42 | $234.42 | $234.42 | |
Cigna
| Facility | $162.18 | $309.03 | $575.44 | |
Cigna
| Professional | $77.62 | $933.25 | $933.25 | |
United
| Facility | $114.82 | $114.82 | $114.82 | |
United
| Professional | $81.28 | $87.10 | $239.88 |