| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.14 | $211.14 | $213.21 | |
Aetna
| Professional | $193.58 | $211.14 | $235.52 | |
CareSource
| Facility | $24.49 | $24.49 | $24.49 | |
Cigna
| Professional | $263.63 | $263.63 | $329.53 | |
Health Alliance Plan
| Professional | $160.08 | $194.47 | $243.08 | |
United
| Professional | $195.77 | $230.43 | $328.52 |