| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.28 | $364.28 | $1,400.00 | |
Aetna
| Professional | $340.60 | $376.27 | $1,253.14 | |
CareSource
| Facility | $252.14 | $343.83 | $445.61 | |
CareSource
| Professional | $275.06 | $396.10 | $72,899.27 | |
Cigna
| Facility | $413.28 | $413.28 | $413.28 | |
Cigna
| Professional | $348.26 | $494.57 | $888.67 | |
United
| Professional | $239.90 | $378.93 | $649.60 |