| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.24 | $730.94 | $968.11 | |
Aetna
| Professional | $114.54 | $115.68 | $509.43 | |
CareSource
| Facility | $114.54 | $171.81 | $171.81 | |
Cigna
| Facility | $108.05 | $114.54 | $487.56 | |
Cigna
| Professional | $114.54 | $114.54 | $290.30 | |
United
| Professional | $114.54 | $114.54 | $286.80 |