| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $252.82 | $287.92 | $316.02 | |
CareSource
| Facility | $33.03 | $247.61 | $382.94 | |
CareSource
| Professional | $33.51 | $266.66 | $398.19 | |
Cigna
| Facility | $333.25 | $333.25 | $557.69 | |
Cigna
| Professional | $333.25 | $333.25 | $376.21 | |
United
| Professional | $206.84 | $268.72 | $442.43 |