| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.90 | $694.30 | $2,600.00 | |
Aetna
| Professional | $439.43 | $472.96 | $673.07 | |
CareSource
| Facility | $537.67 | $537.67 | $585.82 | |
CareSource
| Professional | $267.25 | $520.73 | $520.73 | |
Cigna
| Facility | $511.90 | $511.90 | $511.90 | |
Cigna
| Professional | $437.09 | $662.95 | $1,269.50 | |
United
| Professional | $361.26 | $569.00 | $733.82 |