| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.90 | $493.90 | $1,400.00 | |
Aetna
| Professional | $493.90 | $503.79 | $709.30 | |
CareSource
| Facility | $475.35 | $545.83 | $594.70 | |
CareSource
| Professional | $528.62 | $528.62 | $528.62 | |
Cigna
| Facility | $510.19 | $510.19 | $510.19 | |
Cigna
| Professional | $423.19 | $701.37 | $2,769.31 | |
United
| Professional | $524.08 | $753.37 | $1,298.45 |