| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.99 | $477.13 | $572.54 | |
Aetna
| Professional | $286.27 | $312.99 | $324.45 | |
CareSource
| Facility | $381.70 | $515.29 | $629.80 | |
CareSource
| Professional | $381.70 | $515.29 | $515.29 | |
Cigna
| Facility | $310.14 | $604.38 | $1,145.03 | |
Cigna
| Professional | $192.86 | $208.51 | $1,839.79 | |
United
| Professional | $63.72 | $133.60 | $274.66 |