| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.40 | $188.00 | $245.67 | |
CareSource
| Facility | $288.91 | $336.67 | $378.76 | |
CareSource
| Professional | $271.32 | $308.62 | $650.49 | |
Cigna
| Facility | $303.08 | $303.08 | $303.08 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
United
| Professional | $113.28 | $139.97 | $234.33 |