| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.52 | $537.03 | $660.69 | |
CareSource
| Facility | $575.44 | $575.44 | $676.08 | |
CareSource
| Professional | $602.56 | $602.56 | $602.56 | |
Cigna
| Facility | $870.96 | $870.96 | $870.96 | |
Cigna
| Professional | $446.68 | $645.65 | $2,630.27 | |
United
| Professional | $316.23 | $467.74 | $776.25 |