| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $181.97 | $208.93 | |
CareSource
| Facility | $257.04 | $257.04 | $257.04 | |
CareSource
| Professional | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $91.20 | $91.20 | $1,071.52 | |
United
| Professional | $95.50 | $114.82 | $144.54 |