| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.74 | $291.74 | $291.74 | |
CareSource
| Facility | $82.46 | $100.53 | $190.38 | |
CareSource
| Professional | $79.86 | $79.86 | $79.86 | |
Cigna
| Professional | $795.70 | $795.70 | $795.70 | |
United
| Professional | $142.91 | $349.34 | $801.86 |