| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.18 | $366.23 | $401.48 | |
CareSource
| Facility | $39.58 | $41.81 | $469.73 | |
CareSource
| Professional | $39.58 | $45.03 | $505.86 | |
Cigna
| Facility | $283.73 | $283.73 | $700.07 | |
Cigna
| Professional | $47.85 | $283.73 | $427.05 | |
United
| Professional | $262.14 | $357.11 | $534.02 |