| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $794.33 | $794.33 | |
Aetna
| Professional | $371.54 | $426.58 | $501.19 | |
CareSource
| Facility | $707.95 | $707.95 | $707.95 | |
CareSource
| Professional | $630.96 | $630.96 | $630.96 | |
Cigna
| Facility | $436.52 | $851.14 | $1,584.89 | |
Cigna
| Professional | $2,570.40 | $2,570.40 | $2,570.40 | |
United
| Facility | $316.23 | $316.23 | $316.23 | |
United
| Professional | $223.87 | $239.88 | $660.69 |