| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.53 | $595.75 | $1,600.00 | |
Aetna
| Professional | $390.68 | $527.34 | $775.84 | |
CareSource
| Facility | $453.65 | $496.14 | $540.54 | |
CareSource
| Professional | $480.49 | $563.22 | $716.77 | |
Cigna
| Facility | $727.43 | $727.43 | $727.43 | |
Cigna
| Professional | $422.10 | $658.13 | $2,029.94 | |
United
| Professional | $450.99 | $629.71 | $1,008.98 |