| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.40 | $231.36 | $253.01 | |
CareSource
| Facility | $26.17 | $196.21 | $307.72 | |
CareSource
| Professional | $26.93 | $211.30 | $318.79 | |
Cigna
| Facility | $267.62 | $267.62 | $448.14 | |
Cigna
| Professional | $267.62 | $269.81 | $330.59 | |
United
| Professional | $178.78 | $194.41 | $350.55 |