| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $416.87 | $501.19 | |
CareSource
| Facility | $48.98 | $363.08 | $562.34 | |
CareSource
| Professional | $52.48 | $389.05 | $602.56 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $275.42 | $3,715.35 | |
United
| Facility | $46.77 | $354.81 | $562.34 | |
United
| Professional | $338.84 | $416.87 | $660.69 |