| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.30 | $274.20 | $325.20 | |
CareSource
| Facility | $29.63 | $41.05 | $379.43 | |
CareSource
| Professional | $29.63 | $41.05 | $408.62 | |
Cigna
| Facility | $256.50 | $256.50 | $452.00 | |
Cigna
| Professional | $35.83 | $256.50 | $386.04 | |
United
| Professional | $157.00 | $213.42 | $429.92 |