| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.05 | $465.65 | $1,600.00 | |
Aetna
| Professional | $257.92 | $397.68 | $532.75 | |
CareSource
| Facility | $295.35 | $354.42 | $386.14 | |
CareSource
| Professional | $343.24 | $343.24 | $343.24 | |
Cigna
| Facility | $509.16 | $509.16 | $509.16 | |
Cigna
| Professional | $306.16 | $521.66 | $1,200.41 | |
United
| Professional | $343.43 | $514.66 | $665.79 |