| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.47 | $241.56 | $289.88 | |
Aetna
| Professional | $144.94 | $158.47 | $164.26 | |
CareSource
| Facility | $212.58 | $289.88 | $338.19 | |
CareSource
| Professional | $231.90 | $231.90 | $260.89 | |
Cigna
| Facility | $157.01 | $231.90 | $579.69 | |
Cigna
| Professional | $78.03 | $273.08 | $931.47 | |
United
| Professional | $81.17 | $96.63 | $280.20 |