| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.08 | $988.20 | $988.20 | |
Aetna
| Professional | $130.25 | $142.40 | $147.61 | |
CareSource
| Facility | $191.03 | $260.49 | $303.91 | |
CareSource
| Professional | $208.39 | $208.39 | $234.44 | |
Cigna
| Facility | $141.10 | $396.62 | $520.94 | |
Cigna
| Professional | $94.65 | $312.02 | $1,070.52 | |
United
| Professional | $95.51 | $145.69 | $360.19 |