| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.99 | $896.67 | $2,600.00 | |
Aetna
| Professional | $519.99 | $572.17 | $939.89 | |
CareSource
| Facility | $632.97 | $694.40 | $756.57 | |
CareSource
| Professional | $344.91 | $672.50 | $672.50 | |
Cigna
| Facility | $679.48 | $679.48 | $679.48 | |
Cigna
| Professional | $580.09 | $840.63 | $1,630.91 | |
United
| Professional | $423.31 | $650.21 | $908.22 |