| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $273.17 | $309.62 | $345.16 | |
CareSource
| Facility | $37.61 | $282.06 | $411.80 | |
CareSource
| Professional | $36.03 | $303.75 | $434.90 | |
Cigna
| Facility | $347.16 | $347.16 | $611.88 | |
Cigna
| Professional | $347.16 | $347.16 | $455.65 | |
United
| Professional | $203.29 | $286.06 | $434.84 |