| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.59 | $367.27 | $1,600.00 | |
Aetna
| Professional | $212.15 | $315.93 | $482.63 | |
CareSource
| Facility | $244.97 | $268.26 | $292.27 | |
CareSource
| Professional | $259.80 | $345.98 | $439.21 | |
Cigna
| Facility | $392.80 | $392.80 | $392.80 | |
Cigna
| Professional | $230.75 | $356.50 | $1,091.39 | |
United
| Professional | $276.77 | $400.04 | $659.02 |