| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.73 | $336.73 | $1,400.00 | |
Aetna
| Professional | $331.44 | $359.49 | $419.35 | |
CareSource
| Facility | $267.33 | $364.56 | $418.11 | |
CareSource
| Professional | $291.64 | $371.65 | $72,899.27 | |
Cigna
| Facility | $411.06 | $411.06 | $411.06 | |
Cigna
| Professional | $331.78 | $490.91 | $1,721.27 | |
United
| Professional | $247.51 | $338.91 | $539.17 |