| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $660.69 | $660.69 | |
Aetna
| Professional | $309.03 | $354.81 | $512.86 | |
CareSource
| Facility | $588.84 | $588.84 | $588.84 | |
CareSource
| Professional | $524.81 | $524.81 | $524.81 | |
Cigna
| Facility | $363.08 | $707.95 | $1,318.26 | |
Cigna
| Professional | $229.09 | $2,137.96 | $2,137.96 | |
United
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $74.13 | $154.88 | $263.03 |