| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.02 | $153.02 | $154.21 | |
Aetna
| Professional | $141.02 | $153.60 | $191.87 | |
CareSource
| Facility | $168.64 | $185.23 | $201.81 | |
CareSource
| Professional | $172.33 | $179.39 | $179.39 | |
Cigna
| Facility | $257.18 | $257.18 | $257.18 | |
Cigna
| Professional | $143.61 | $197.47 | $594.04 | |
United
| Professional | $125.98 | $184.99 | $273.89 |