| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.25 | $181.25 | $181.25 | |
Aetna
| Professional | $133.34 | $181.25 | $236.02 | |
CareSource
| Facility | $191.20 | $374.57 | $514.78 | |
CareSource
| Professional | $191.20 | $205.91 | $352.99 | |
Cigna
| Facility | $312.30 | $312.30 | $342.71 | |
Cigna
| Professional | $227.98 | $312.30 | $1,309.10 | |
United
| Professional | $181.19 | $232.77 | $359.50 |