| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.68 | $381.68 | $1,400.00 | |
Aetna
| Professional | $343.49 | $381.68 | $467.52 | |
CareSource
| Facility | $450.91 | $517.02 | $563.29 | |
CareSource
| Professional | $500.71 | $500.71 | $500.71 | |
Cigna
| Facility | $487.04 | $487.04 | $487.04 | |
Cigna
| Professional | $408.91 | $602.63 | $2,339.36 | |
United
| Professional | $327.38 | $501.98 | $749.00 |