| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.32 | $388.28 | $472.43 | |
CareSource
| Facility | $41.96 | $62.86 | $634.04 | |
CareSource
| Professional | $41.96 | $62.86 | $682.82 | |
Cigna
| Facility | $459.79 | $459.79 | $973.60 | |
Cigna
| Professional | $50.73 | $459.79 | $604.09 | |
United
| Professional | $252.01 | $429.92 | $802.84 |