| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.60 | $221.95 | $266.33 | |
Aetna
| Professional | $133.16 | $143.82 | $145.60 | |
CareSource
| Facility | $195.32 | $239.71 | $266.33 | |
CareSource
| Professional | $213.07 | $213.07 | $239.71 | |
Cigna
| Facility | $144.26 | $213.07 | $532.62 | |
Cigna
| Professional | $69.86 | $255.03 | $855.84 | |
United
| Professional | $74.58 | $79.90 | $239.71 |