| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $698.82 | $794.78 | $873.53 | |
CareSource
| Facility | $85.88 | $91.58 | $1,022.03 | |
CareSource
| Professional | $85.88 | $98.62 | $1,100.65 | |
Cigna
| Facility | $867.37 | $867.37 | $1,519.55 | |
Cigna
| Professional | $103.85 | $867.37 | $926.82 | |
United
| Professional | $574.44 | $782.54 | $1,228.75 |