| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.40 | $108.40 | $108.40 | |
Aetna
| Professional | $108.40 | $159.40 | $245.48 | |
CareSource
| Facility | $282.29 | $329.33 | $386.85 | |
Cigna
| Facility | $302.23 | $302.23 | $302.23 | |
Cigna
| Professional | $119.00 | $119.00 | $1,243.08 | |
United
| Professional | $139.38 | $193.00 | $361.06 |