| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.03 | $618.79 | $1,400.00 | |
Aetna
| Professional | $356.32 | $406.82 | $504.66 | |
CareSource
| Facility | $433.94 | $479.22 | $522.11 | |
CareSource
| Professional | $238.18 | $464.10 | $464.10 | |
Cigna
| Facility | $466.67 | $466.67 | $466.67 | |
Cigna
| Professional | $342.91 | $539.92 | $1,091.32 | |
United
| Professional | $309.39 | $440.30 | $655.13 |