| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.49 | $219.49 | $219.49 | |
Aetna
| Professional | $204.61 | $210.07 | $236.02 | |
CareSource
| Facility | $300.95 | $573.55 | $743.51 | |
CareSource
| Professional | $276.16 | $324.11 | $555.61 | |
Cigna
| Facility | $295.70 | $295.70 | $542.59 | |
Cigna
| Professional | $215.87 | $295.70 | $2,247.61 | |
United
| Facility | $208.12 | $208.12 | $208.12 | |
United
| Professional | $176.00 | $226.51 | $353.26 |