| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.31 | $381.31 | $1,600.00 | |
Aetna
| Professional | $344.39 | $381.31 | $431.42 | |
CareSource
| Facility | $452.29 | $515.52 | $561.66 | |
CareSource
| Professional | $499.26 | $499.26 | $499.26 | |
Cigna
| Facility | $488.14 | $488.14 | $488.14 | |
Cigna
| Professional | $413.66 | $582.46 | $2,253.04 | |
United
| Professional | $319.41 | $491.52 | $731.06 |