| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.80 | $232.80 | $232.80 | |
Aetna
| Professional | $218.49 | $232.80 | $250.39 | |
CareSource
| Facility | $308.58 | $610.90 | $830.83 | |
CareSource
| Professional | $308.58 | $332.33 | $543.02 | |
Cigna
| Facility | $335.84 | $335.84 | $575.99 | |
Cigna
| Professional | $245.16 | $245.16 | $2,414.15 | |
United
| Professional | $236.85 | $310.29 | $394.75 |