| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.42 | $338.84 | $446.68 | |
CareSource
| Facility | $371.54 | $371.54 | $436.52 | |
CareSource
| Professional | $389.05 | $389.05 | $389.05 | |
Cigna
| Facility | $562.34 | $562.34 | $562.34 | |
Cigna
| Professional | $281.84 | $416.87 | $1,621.81 | |
United
| Professional | $234.42 | $338.84 | $512.86 |