| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.55 | $378.18 | $1,400.00 | |
Aetna
| Professional | $241.55 | $303.30 | $444.04 | |
CareSource
| Facility | $258.37 | $292.87 | $319.08 | |
CareSource
| Professional | $186.79 | $283.63 | $283.63 | |
Cigna
| Facility | $414.29 | $414.29 | $414.29 | |
Cigna
| Professional | $245.19 | $376.17 | $853.40 | |
United
| Professional | $229.19 | $352.97 | $488.39 |