| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.94 | $504.49 | $605.39 | |
Aetna
| Professional | $302.69 | $330.94 | $343.05 | |
CareSource
| Facility | $443.95 | $605.39 | $706.28 | |
CareSource
| Professional | $484.31 | $484.31 | $544.85 | |
Cigna
| Facility | $327.91 | $785.62 | $1,210.65 | |
Cigna
| Professional | $382.98 | $414.06 | $1,945.30 | |
United
| Professional | $126.57 | $150.68 | $504.49 |