| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Aetna
| Professional | $169.82 | $213.80 | $323.59 | |
CareSource
| Facility | $281.84 | $281.84 | $588.84 | |
CareSource
| Professional | $302.00 | $302.00 | $512.86 | |
Cigna
| Facility | $251.19 | $676.08 | $676.08 | |
Cigna
| Professional | $181.97 | $181.97 | $2,041.74 | |
United
| Facility | $190.55 | $190.55 | $446.68 | |
United
| Professional | $173.78 | $229.09 | $346.74 |