| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.53 | $204.17 | $251.19 | |
CareSource
| Facility | $25.12 | $194.98 | $295.12 | |
CareSource
| Professional | $26.92 | $208.93 | $316.23 | |
Cigna
| Facility | $269.15 | $269.15 | $331.13 | |
Cigna
| Professional | $269.15 | $269.15 | $331.13 | |
United
| Facility | $24.55 | $186.21 | $295.12 | |
United
| Professional | $177.83 | $213.80 | $346.74 |