| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $588.84 | $588.84 | |
Aetna
| Professional | $263.03 | $309.03 | $457.09 | |
CareSource
| Facility | $524.81 | $524.81 | $524.81 | |
CareSource
| Professional | $467.74 | $467.74 | $467.74 | |
Cigna
| Facility | $323.59 | $630.96 | $1,174.90 | |
Cigna
| Professional | $446.68 | $1,862.09 | $1,862.09 | |
United
| Facility | $234.42 | $234.42 | $234.42 | |
United
| Professional | $165.96 | $177.83 | $389.05 |