| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.80 | $550.00 | $660.00 | |
Aetna
| Professional | $330.00 | $360.80 | $374.00 | |
CareSource
| Facility | $484.00 | $660.00 | $770.00 | |
CareSource
| Professional | $528.00 | $528.00 | $594.00 | |
Cigna
| Facility | $357.50 | $528.00 | $1,319.89 | |
Cigna
| Professional | $224.77 | $243.01 | $2,120.80 | |
United
| Professional | $74.20 | $198.00 | $319.89 |