| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.88 | $292.88 | $338.78 | |
CareSource
| Facility | $31.65 | $40.43 | $407.96 | |
CareSource
| Professional | $31.65 | $43.54 | $439.34 | |
Cigna
| Facility | $327.62 | $327.62 | $626.45 | |
Cigna
| Professional | $38.27 | $327.62 | $406.67 | |
United
| Professional | $194.66 | $263.45 | $516.57 |