| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.18 | $397.60 | $1,400.00 | |
Aetna
| Professional | $331.18 | $377.71 | $458.97 | |
CareSource
| Facility | $372.04 | $413.80 | $450.83 | |
CareSource
| Professional | $400.74 | $400.74 | $400.74 | |
Cigna
| Facility | $596.55 | $596.55 | $596.55 | |
Cigna
| Professional | $342.16 | $563.55 | $1,629.26 | |
United
| Professional | $340.46 | $548.00 | $1,123.83 |