| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.94 | $422.16 | $506.60 | |
Aetna
| Professional | $253.30 | $276.94 | $287.07 | |
CareSource
| Facility | $371.50 | $506.60 | $591.03 | |
CareSource
| Professional | $405.28 | $405.28 | $455.94 | |
Cigna
| Facility | $274.39 | $657.41 | $1,013.08 | |
Cigna
| Professional | $164.59 | $177.95 | $1,627.86 | |
United
| Professional | $54.40 | $118.21 | $234.50 |