| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.34 | $1,269.00 | $1,269.00 | |
Aetna
| Professional | $268.17 | $289.62 | $293.20 | |
CareSource
| Facility | $393.32 | $482.71 | $536.34 | |
CareSource
| Professional | $429.07 | $429.07 | $482.71 | |
Cigna
| Facility | $290.51 | $429.07 | $1,072.57 | |
Cigna
| Professional | $203.54 | $513.66 | $1,723.44 | |
United
| Professional | $160.90 | $196.99 | $572.10 |