| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $416.87 | $416.87 | |
Aetna
| Professional | $190.55 | $223.87 | $257.04 | |
CareSource
| Facility | $371.54 | $371.54 | $371.54 | |
CareSource
| Professional | $331.13 | $331.13 | $331.13 | |
Cigna
| Facility | $229.09 | $436.52 | $831.76 | |
Cigna
| Professional | $1,318.26 | $1,318.26 | $1,318.26 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $114.82 | $123.03 | $346.74 |