| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.26 | $285.26 | $288.06 | |
Aetna
| Professional | $261.55 | $285.26 | $318.23 | |
CareSource
| Facility | $46.51 | $46.51 | $46.51 | |
Cigna
| Professional | $356.25 | $356.25 | $445.31 | |
Health Alliance Plan
| Professional | $216.28 | $262.88 | $328.60 | |
United
| Professional | $267.85 | $298.49 | $369.30 |