| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $588.84 | $676.08 | |
CareSource
| Facility | $69.18 | $69.18 | $630.96 | |
CareSource
| Professional | $74.13 | $74.13 | $676.08 | |
Cigna
| Professional | $75.86 | $75.86 | $4,365.16 | |
United
| Facility | $61.66 | $467.74 | $741.31 | |
United
| Professional | $371.54 | $416.87 | $758.58 |