| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.65 | $1,112.40 | $1,112.40 | |
Aetna
| Professional | $301.58 | $329.74 | $341.80 | |
CareSource
| Facility | $442.33 | $603.17 | $703.71 | |
CareSource
| Professional | $482.54 | $482.54 | $542.86 | |
Cigna
| Facility | $326.73 | $869.73 | $1,206.27 | |
Cigna
| Professional | $697.57 | $754.18 | $1,938.22 | |
United
| Facility | $168.89 | $168.89 | $168.89 | |
United
| Professional | $180.95 | $241.27 | $740.61 |