| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.00 | $214.38 | $214.38 | |
CareSource
| Facility | $301.97 | $340.71 | $356.94 | |
CareSource
| Professional | $466.74 | $466.74 | $466.74 | |
Cigna
| Facility | $193.00 | $193.00 | $255.00 | |
United
| Professional | $246.70 | $246.70 | $272.20 |