| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.04 | $446.04 | $1,400.00 | |
Aetna
| Professional | $416.34 | $467.46 | $537.08 | |
CareSource
| Facility | $499.05 | $555.49 | $605.22 | |
CareSource
| Professional | $537.97 | $537.97 | $537.97 | |
Cigna
| Facility | $534.28 | $534.28 | $534.28 | |
Cigna
| Professional | $453.71 | $678.54 | $2,853.47 | |
United
| Professional | $362.84 | $556.35 | $849.51 |