| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.04 | $274.04 | $1,400.00 | |
Aetna
| Professional | $269.74 | $292.02 | $336.19 | |
CareSource
| Facility | $178.23 | $243.05 | $351.38 | |
CareSource
| Professional | $194.44 | $312.33 | $72,899.27 | |
Cigna
| Facility | $333.92 | $333.92 | $333.92 | |
Cigna
| Professional | $269.27 | $399.53 | $2,605.85 | |
United
| Professional | $165.00 | $279.07 | $453.01 |