| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.25 | $542.50 | $1,400.00 | |
Aetna
| Professional | $178.25 | $267.42 | $754.12 | |
CareSource
| Facility | $182.51 | $207.11 | $225.64 | |
CareSource
| Professional | $200.57 | $200.57 | $200.57 | |
Cigna
| Facility | $292.64 | $292.64 | $292.64 | |
Cigna
| Professional | $234.00 | $565.29 | $1,781.52 | |
United
| Professional | $528.84 | $973.80 | $1,629.87 |