| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $678.84 | $889.65 | $945.38 | |
CareSource
| Facility | $79.53 | $115.16 | $735.09 | |
CareSource
| Professional | $85.65 | $100.77 | $791.63 | |
Cigna
| Facility | $200.00 | $200.00 | $1,360.42 | |
Cigna
| Professional | $98.81 | $200.00 | $200.00 | |
United
| Professional | $443.73 | $592.49 | $980.26 |