| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.06 | $140.06 | $140.06 | |
Aetna
| Professional | $140.06 | $205.96 | $317.18 | |
CareSource
| Facility | $364.88 | $425.69 | $499.86 | |
Cigna
| Facility | $390.52 | $390.52 | $390.52 | |
Cigna
| Professional | $153.00 | $153.00 | $1,606.22 | |
United
| Professional | $180.10 | $263.23 | $466.54 |