| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.45 | $239.86 | $268.76 | |
Aetna
| Professional | $228.45 | $239.86 | $263.83 | |
CareSource
| Facility | $62.76 | $62.76 | $94.14 | |
Cigna
| Facility | $228.45 | $263.38 | $263.38 | |
Cigna
| Professional | $263.38 | $263.38 | $313.13 | |
United
| Professional | $235.16 | $282.19 | $300.27 |