| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.08 | $354.08 | $433.33 | |
Aetna
| Professional | $345.74 | $354.08 | $354.08 | |
CareSource
| Facility | $133.28 | $137.62 | $240.84 | |
Cigna
| Facility | $178.20 | $367.96 | $367.96 | |
Cigna
| Professional | $367.96 | $367.96 | $745.27 | |
United
| Professional | $354.08 | $357.54 | $416.56 |