| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.80 | $306.80 | $311.77 | |
Aetna
| Professional | $308.68 | $308.68 | $311.77 | |
CareSource
| Facility | $308.68 | $463.02 | $463.02 | |
Cigna
| Facility | $291.20 | $302.94 | $308.68 | |
Cigna
| Professional | $308.68 | $308.68 | $544.41 | |
United
| Professional | $299.42 | $308.68 | $361.68 |