| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.02 | $153.03 | $187.48 | |
CareSource
| Facility | $81.84 | $133.19 | $199.79 | |
CareSource
| Professional | $81.84 | $88.15 | $308.80 | |
Cigna
| Facility | $162.52 | $162.52 | $162.52 | |
Cigna
| Professional | $769.37 | $769.37 | $769.37 | |
United
| Professional | $106.55 | $184.59 | $279.87 |