| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.96 | $639.54 | $2,300.00 | |
Aetna
| Professional | $364.64 | $415.96 | $579.49 | |
CareSource
| Facility | $436.67 | $495.29 | $539.62 | |
CareSource
| Professional | $246.14 | $479.66 | $479.66 | |
Cigna
| Facility | $466.44 | $466.44 | $466.44 | |
Cigna
| Professional | $355.43 | $546.37 | $1,059.52 | |
United
| Professional | $315.64 | $446.76 | $660.75 |