| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $439.80 | $492.30 | $567.08 | |
CareSource
| Facility | $53.20 | $67.03 | $578.62 | |
CareSource
| Professional | $53.20 | $72.18 | $623.13 | |
Cigna
| Facility | $407.96 | $407.96 | $1,038.75 | |
Cigna
| Professional | $64.33 | $407.96 | $590.76 | |
United
| Professional | $279.55 | $436.85 | $856.56 |