| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $676.08 | $676.08 | |
Aetna
| Professional | $316.23 | $363.08 | $426.58 | |
CareSource
| Facility | $602.56 | $602.56 | $602.56 | |
CareSource
| Professional | $537.03 | $537.03 | $537.03 | |
Cigna
| Facility | $371.54 | $724.44 | $1,348.96 | |
Cigna
| Professional | $2,187.76 | $2,187.76 | $2,187.76 | |
United
| Facility | $269.15 | $269.15 | $269.15 | |
United
| Professional | $190.55 | $204.17 | $562.34 |