| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.00 | $604.79 | $604.79 | |
Aetna
| Professional | $30.00 | $50.00 | $604.79 | |
CareSource
| Facility | $31.96 | $124.28 | $298.26 | |
CareSource
| Professional | $68.08 | $234.35 | $553.35 | |
Cigna
| Professional | $252.00 | $360.00 | $516.00 | |
United
| Professional | $45.00 | $58.00 | $71.00 |