| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.35 | $150.32 | $184.11 | |
CareSource
| Facility | $106.54 | $172.93 | $259.39 | |
CareSource
| Professional | $106.54 | $114.74 | $400.96 | |
Cigna
| Facility | $211.40 | $211.40 | $211.40 | |
Cigna
| Professional | $857.53 | $857.53 | $857.53 | |
United
| Professional | $123.56 | $181.34 | $272.62 |