| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.77 | $162.69 | $220.37 | |
CareSource
| Facility | $244.54 | $275.27 | $318.95 | |
CareSource
| Professional | $229.39 | $254.50 | $531.85 | |
Cigna
| Facility | $289.75 | $289.75 | $289.75 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
United
| Professional | $105.81 | $114.44 | $191.59 |