| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.36 | $243.77 | $282.00 | |
CareSource
| Facility | $343.38 | $408.86 | $428.33 | |
CareSource
| Professional | $530.77 | $530.77 | $530.77 | |
Cigna
| Facility | $230.00 | $230.00 | $300.00 | |
United
| Professional | $296.04 | $296.04 | $326.64 |