| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.97 | $289.33 | $355.02 | |
CareSource
| Facility | $38.47 | $312.66 | $495.55 | |
CareSource
| Professional | $33.67 | $324.69 | $516.96 | |
Cigna
| Facility | $310.87 | $416.18 | $767.73 | |
Cigna
| Professional | $310.87 | $378.06 | $417.10 | |
United
| Professional | $243.50 | $305.50 | $545.65 |