| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.99 | $286.33 | $314.99 | |
CareSource
| Facility | $33.10 | $248.38 | $380.83 | |
CareSource
| Professional | $33.33 | $267.48 | $396.89 | |
Cigna
| Facility | $331.53 | $331.53 | $554.60 | |
Cigna
| Professional | $331.53 | $331.53 | $374.14 | |
United
| Professional | $207.46 | $267.25 | $443.77 |