| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $415.31 | $463.15 | $503.04 | |
CareSource
| Facility | $50.05 | $450.05 | $627.78 | |
CareSource
| Professional | $53.90 | $404.25 | $646.24 | |
Cigna
| Facility | $647.96 | $647.96 | $921.85 | |
Cigna
| Professional | $605.17 | $647.96 | $3,863.76 | |
United
| Professional | $331.79 | $434.62 | $690.53 |