| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.00 | $216.46 | $259.76 | |
Aetna
| Professional | $129.88 | $142.00 | $147.19 | |
CareSource
| Facility | $190.49 | $259.76 | $303.05 | |
CareSource
| Professional | $207.80 | $207.80 | $233.78 | |
Cigna
| Facility | $140.69 | $412.95 | $519.46 | |
Cigna
| Professional | $98.60 | $324.83 | $1,112.74 | |
United
| Professional | $95.24 | $151.69 | $399.23 |