| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.67 | $231.67 | $232.56 | |
Aetna
| Professional | $230.15 | $232.46 | $232.46 | |
CareSource
| Facility | $230.15 | $345.23 | $345.23 | |
Cigna
| Facility | $217.13 | $228.07 | $230.15 | |
Cigna
| Professional | $230.15 | $230.15 | $420.62 | |
United
| Professional | $227.81 | $230.15 | $268.01 |