| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.14 | $482.58 | $1,400.00 | |
Aetna
| Professional | $308.14 | $453.35 | $724.44 | |
CareSource
| Facility | $340.33 | $373.72 | $407.17 | |
CareSource
| Professional | $265.26 | $361.93 | $361.93 | |
Cigna
| Facility | $545.71 | $545.71 | $545.71 | |
Cigna
| Professional | $329.89 | $517.17 | $1,285.07 | |
United
| Professional | $343.01 | $491.77 | $689.57 |