| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.99 | $448.99 | $1,400.00 | |
Aetna
| Professional | $448.99 | $466.97 | $525.32 | |
CareSource
| Facility | $448.12 | $512.70 | $558.59 | |
CareSource
| Professional | $496.52 | $496.52 | $496.52 | |
Cigna
| Facility | $481.96 | $481.96 | $481.96 | |
Cigna
| Professional | $401.12 | $660.29 | $1,959.81 | |
United
| Professional | $357.21 | $568.07 | $846.56 |