| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $370.19 | $735.00 | $735.00 | |
Aetna
| Professional | $100.66 | $117.31 | $180.00 | |
CareSource
| Facility | $37.72 | $56.60 | $108.03 | |
CareSource
| Professional | $41.16 | $80.02 | $185.53 | |
Cigna
| Facility | $112.96 | $112.96 | $112.96 | |
Cigna
| Professional | $78.91 | $78.91 | $447.44 | |
United
| Professional | $118.38 | $170.18 | $254.00 |