| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.21 | $200.64 | $283.23 | |
CareSource
| Facility | $184.97 | $269.04 | $403.56 | |
CareSource
| Professional | $133.62 | $246.62 | $260.56 | |
Cigna
| Facility | $264.67 | $264.67 | $264.67 | |
Cigna
| Professional | $216.39 | $281.30 | $524.39 | |
United
| Professional | $173.70 | $261.18 | $360.67 |