| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.13 | $549.92 | $1,600.00 | |
Aetna
| Professional | $432.13 | $516.59 | $619.38 | |
CareSource
| Facility | $480.84 | $531.26 | $578.83 | |
CareSource
| Professional | $514.51 | $514.51 | $514.51 | |
Cigna
| Facility | $771.02 | $771.02 | $771.02 | |
Cigna
| Professional | $436.21 | $600.26 | $1,419.19 | |
United
| Professional | $440.87 | $626.46 | $851.06 |