| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $397.86 | $529.85 | $711.00 | |
CareSource
| Facility | $387.94 | $529.01 | $677.23 | |
CareSource
| Professional | $601.98 | $601.98 | $601.98 | |
Cigna
| Facility | $624.92 | $624.92 | $624.92 | |
Cigna
| Professional | $438.91 | $601.98 | $995.94 | |
United
| Professional | $313.87 | $446.32 | $754.13 |