| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.93 | $161.99 | $199.66 | |
CareSource
| Facility | $250.81 | $273.61 | $327.39 | |
CareSource
| Professional | $228.01 | $250.81 | $528.65 | |
Cigna
| Facility | $258.47 | $258.47 | $258.47 | |
Cigna
| Professional | $91.84 | $91.84 | $91.84 | |
United
| Professional | $95.46 | $113.75 | $190.44 |