| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.38 | $152.21 | $196.44 | |
CareSource
| Facility | $235.85 | $269.20 | $307.64 | |
CareSource
| Professional | $210.19 | $246.77 | $520.14 | |
Cigna
| Facility | $220.54 | $220.54 | $220.54 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
United
| Professional | $84.11 | $111.92 | $205.09 |