| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.07 | $150.43 | $174.76 | |
CareSource
| Facility | $20.01 | $158.05 | $210.70 | |
CareSource
| Professional | $17.51 | $162.56 | $226.91 | |
Cigna
| Facility | $166.31 | $166.31 | $326.42 | |
Cigna
| Professional | $166.31 | $196.56 | $218.29 | |
United
| Professional | $132.13 | $150.05 | $282.63 |