| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.18 | $404.34 | $1,400.00 | |
Aetna
| Professional | $250.93 | $379.48 | $582.34 | |
CareSource
| Facility | $286.83 | $313.13 | $341.16 | |
CareSource
| Professional | $224.04 | $303.25 | $303.25 | |
Cigna
| Facility | $459.93 | $459.93 | $459.93 | |
Cigna
| Professional | $276.32 | $436.76 | $1,099.32 | |
United
| Professional | $300.85 | $422.78 | $621.75 |