| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $458.88 | $527.70 | $573.60 | |
CareSource
| Facility | $51.68 | $69.87 | $697.70 | |
CareSource
| Professional | $55.66 | $61.14 | $751.37 | |
Cigna
| Facility | $232.12 | $232.12 | $825.43 | |
Cigna
| Professional | $59.95 | $232.12 | $3,451.84 | |
United
| Professional | $269.32 | $359.50 | $594.54 |