| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.84 | $939.67 | $1,600.00 | |
Aetna
| Professional | $194.70 | $486.57 | $1,562.39 | |
CareSource
| Facility | $211.38 | $234.74 | $255.76 | |
CareSource
| Professional | $227.34 | $227.34 | $920.78 | |
Cigna
| Facility | $338.95 | $338.95 | $338.95 | |
Cigna
| Professional | $221.80 | $854.91 | $2,678.27 | |
United
| Professional | $864.73 | $1,572.25 | $2,997.51 |