| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.22 | $203.22 | $207.33 | |
Aetna
| Professional | $204.61 | $206.66 | $227.32 | |
CareSource
| Facility | $204.61 | $231.64 | $306.92 | |
CareSource
| Professional | $204.61 | $204.61 | $204.61 | |
Cigna
| Facility | $193.03 | $200.06 | $205.60 | |
Cigna
| Professional | $200.06 | $204.61 | $387.84 | |
United
| Professional | $81.84 | $204.61 | $235.44 |