| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.60 | $321.18 | $321.18 | |
Aetna
| Professional | $318.00 | $321.18 | $333.90 | |
CareSource
| Facility | $318.00 | $318.00 | $477.00 | |
CareSource
| Professional | $318.00 | $318.00 | $737.29 | |
Cigna
| Facility | $300.00 | $1,232.50 | $1,232.50 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
United
| Professional | $318.00 | $318.00 | $1,452.60 |