| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.44 | $223.44 | $223.44 | |
Aetna
| Professional | $151.16 | $223.44 | $245.89 | |
BCBS
| Professional | $237.59 | $296.98 | $314.45 | |
CareSource
| Facility | $251.23 | $314.51 | $343.38 | |
CareSource
| Professional | $257.08 | $291.13 | $530.77 | |
Cigna
| Professional | $133.61 | $160.94 | $160.94 | |
United
| Professional | $96.39 | $144.59 | $240.98 |