| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.81 | $344.81 | $344.81 | |
Aetna
| Professional | $344.81 | $369.94 | $441.04 | |
CareSource
| Facility | $405.94 | $405.94 | $480.44 | |
CareSource
| Professional | $427.06 | $427.06 | $427.06 | |
Cigna
| Facility | $444.40 | $444.40 | $444.40 | |
Cigna
| Professional | $314.97 | $402.40 | $1,858.45 | |
United
| Professional | $141.58 | $300.85 | $576.86 |