| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.28 | $264.91 | $268.16 | |
CareSource
| Facility | $361.38 | $392.62 | $535.40 | |
CareSource
| Professional | $306.25 | $336.88 | $710.06 | |
Cigna
| Facility | $341.55 | $341.55 | $341.55 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
United
| Professional | $133.55 | $152.78 | $255.79 |