| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.05 | $309.45 | $328.82 | |
CareSource
| Facility | $32.56 | $300.45 | $400.54 | |
CareSource
| Professional | $35.06 | $262.89 | $414.31 | |
Cigna
| Facility | $307.55 | $307.55 | $586.74 | |
Cigna
| Professional | $307.55 | $353.87 | $2,422.39 | |
United
| Professional | $175.91 | $249.79 | $376.28 |