| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.50 | $323.50 | $1,700.00 | |
Aetna
| Professional | $302.51 | $339.70 | $390.73 | |
CareSource
| Facility | $363.33 | $404.08 | $440.25 | |
CareSource
| Professional | $391.33 | $391.33 | $391.33 | |
Cigna
| Facility | $388.19 | $388.19 | $388.19 | |
Cigna
| Professional | $330.93 | $533.03 | $2,330.17 | |
United
| Professional | $281.30 | $442.61 | $673.07 |