| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $245.47 | $302.00 | |
CareSource
| Facility | $28.84 | $245.47 | $331.13 | |
CareSource
| Professional | $31.62 | $263.03 | $354.81 | |
Cigna
| Facility | $109.65 | $371.54 | $741.31 | |
Cigna
| Professional | $194.98 | $229.09 | $331.13 | |
United
| Facility | $26.30 | $199.53 | $316.23 | |
United
| Professional | $213.80 | $245.47 | $436.52 |