| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.00 | $222.39 | $293.23 | |
CareSource
| Facility | $313.26 | $545.15 | $571.11 | |
CareSource
| Professional | $484.20 | $484.20 | $484.20 | |
Cigna
| Facility | $307.00 | $307.00 | $410.00 | |
United
| Professional | $394.72 | $394.72 | $435.52 |