| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.18 | $186.07 | $228.21 | |
CareSource
| Facility | $115.70 | $115.70 | $142.40 | |
CareSource
| Professional | $115.70 | $124.60 | $160.19 | |
Cigna
| Facility | $229.97 | $229.97 | $229.97 | |
Cigna
| Professional | $945.65 | $945.65 | $945.65 | |
United
| Professional | $150.52 | $302.67 | $336.26 |