| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.66 | $157.59 | $203.76 | |
CareSource
| Facility | $244.19 | $279.24 | $318.51 | |
CareSource
| Professional | $219.67 | $255.97 | $539.52 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
United
| Professional | $97.30 | $116.09 | $372.32 |