| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.01 | $415.01 | $2,300.00 | |
Aetna
| Professional | $378.65 | $425.76 | $478.57 | |
CareSource
| Facility | $441.04 | $487.08 | $530.69 | |
CareSource
| Professional | $471.72 | $471.72 | $471.72 | |
Cigna
| Facility | $471.48 | $471.48 | $471.48 | |
Cigna
| Professional | $407.60 | $589.65 | $2,805.74 | |
United
| Professional | $333.43 | $515.09 | $1,045.53 |