| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.70 | $469.06 | $562.88 | |
Aetna
| Professional | $281.44 | $307.70 | $318.95 | |
CareSource
| Facility | $412.78 | $562.88 | $656.69 | |
CareSource
| Professional | $450.30 | $450.30 | $506.59 | |
Cigna
| Facility | $304.89 | $450.30 | $1,125.64 | |
Cigna
| Professional | $146.77 | $513.63 | $1,808.71 | |
United
| Professional | $157.61 | $187.63 | $600.40 |