| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.17 | $327.02 | $377.87 | |
CareSource
| Facility | $43.50 | $337.43 | $449.90 | |
CareSource
| Professional | $38.06 | $353.40 | $484.51 | |
Cigna
| Facility | $354.55 | $354.55 | $697.01 | |
Cigna
| Professional | $354.55 | $427.32 | $465.35 | |
United
| Professional | $282.14 | $326.20 | $574.76 |