| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.32 | $194.32 | $297.64 | |
Aetna
| Professional | $196.26 | $294.69 | $297.64 | |
CareSource
| Facility | $294.69 | $442.04 | $442.04 | |
Cigna
| Facility | $278.01 | $294.69 | $459.00 | |
Cigna
| Professional | $294.69 | $294.69 | $778.76 | |
United
| Professional | $294.69 | $294.69 | $447.37 |