| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.35 | $221.56 | $265.88 | |
Aetna
| Professional | $132.94 | $145.35 | $150.66 | |
CareSource
| Facility | $194.98 | $265.88 | $310.19 | |
CareSource
| Professional | $212.70 | $212.70 | $239.29 | |
Cigna
| Facility | $144.01 | $438.64 | $531.69 | |
Cigna
| Professional | $307.30 | $332.23 | $854.35 | |
United
| Professional | $79.76 | $101.56 | $326.44 |