| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.63 | $235.71 | $282.86 | |
Aetna
| Professional | $141.43 | $154.63 | $160.28 | |
CareSource
| Facility | $207.43 | $282.86 | $330.00 | |
CareSource
| Professional | $226.28 | $226.28 | $254.57 | |
Cigna
| Facility | $153.21 | $428.68 | $565.66 | |
Cigna
| Professional | $102.26 | $337.16 | $1,154.97 | |
United
| Professional | $103.71 | $157.47 | $389.31 |