| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.84 | $205.84 | $208.68 | |
Aetna
| Professional | $206.59 | $206.59 | $208.68 | |
CareSource
| Facility | $206.59 | $309.89 | $309.89 | |
Cigna
| Facility | $194.90 | $202.65 | $206.59 | |
Cigna
| Professional | $206.59 | $206.59 | $380.50 | |
United
| Professional | $202.65 | $206.59 | $238.41 |