| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.50 | $439.50 | $1,400.00 | |
Aetna
| Professional | $410.27 | $461.09 | $530.00 | |
CareSource
| Facility | $492.24 | $547.84 | $596.88 | |
CareSource
| Professional | $530.55 | $530.55 | $530.55 | |
Cigna
| Facility | $526.97 | $526.97 | $526.97 | |
Cigna
| Professional | $447.58 | $668.79 | $2,809.41 | |
United
| Professional | $382.03 | $527.23 | $836.92 |