| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.64 | $814.95 | $884.55 | |
CareSource
| Facility | $88.06 | $89.53 | $1,034.92 | |
CareSource
| Professional | $88.06 | $96.42 | $1,114.53 | |
Cigna
| Facility | $833.40 | $833.40 | $1,497.62 | |
Cigna
| Professional | $106.49 | $833.40 | $950.31 | |
United
| Professional | $561.46 | $777.63 | $1,143.79 |