| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.31 | $187.84 | $200.20 | |
CareSource
| Facility | $256.26 | $285.80 | $379.64 | |
CareSource
| Professional | $227.78 | $251.50 | $530.11 | |
Cigna
| Facility | $258.14 | $258.14 | $258.14 | |
Cigna
| Professional | $91.11 | $91.11 | $91.11 | |
United
| Professional | $95.60 | $114.07 | $248.85 |