| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.77 | $349.77 | $1,400.00 | |
Aetna
| Professional | $326.57 | $366.17 | $420.60 | |
CareSource
| Facility | $391.13 | $435.02 | $473.96 | |
CareSource
| Professional | $421.30 | $421.30 | $421.30 | |
Cigna
| Facility | $418.48 | $418.48 | $418.48 | |
Cigna
| Professional | $355.94 | $534.29 | $2,219.98 | |
United
| Professional | $303.06 | $561.73 | $976.73 |