| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $251.19 | $316.23 | |
CareSource
| Facility | $30.90 | $251.19 | $371.54 | |
CareSource
| Professional | $33.11 | $269.15 | $398.11 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $281.84 | $331.13 | $371.54 | |
United
| Facility | $30.20 | $229.09 | $363.08 | |
United
| Professional | $223.87 | $269.15 | $446.68 |