| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.58 | $202.01 | $206.14 | |
CareSource
| Facility | $21.83 | $188.33 | $251.13 | |
CareSource
| Professional | $21.97 | $193.87 | $258.51 | |
Cigna
| Facility | $244.43 | $244.43 | $391.26 | |
Cigna
| Professional | $207.77 | $263.95 | $1,596.82 | |
United
| Professional | $132.72 | $173.85 | $283.89 |