| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.45 | $569.26 | $1,600.00 | |
Aetna
| Professional | $396.45 | $533.90 | $646.47 | |
CareSource
| Facility | $442.29 | $492.91 | $537.03 | |
CareSource
| Professional | $477.36 | $477.36 | $477.36 | |
Cigna
| Facility | $709.21 | $709.21 | $709.21 | |
Cigna
| Professional | $427.95 | $649.22 | $1,468.99 | |
United
| Facility | $460.00 | $460.00 | $460.00 | |
United
| Professional | $465.21 | $671.61 | $876.76 |