| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.71 | $505.65 | $606.78 | |
Aetna
| Professional | $303.39 | $331.71 | $343.84 | |
CareSource
| Facility | $444.97 | $606.78 | $707.91 | |
CareSource
| Professional | $485.42 | $485.42 | $546.10 | |
Cigna
| Facility | $328.68 | $585.91 | $1,213.47 | |
Cigna
| Professional | $417.63 | $451.52 | $1,949.79 | |
United
| Professional | $137.91 | $182.03 | $647.23 |