| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.97 | $394.97 | $401.50 | |
Aetna
| Professional | $367.72 | $394.97 | $492.68 | |
CareSource
| Facility | $423.76 | $465.42 | $507.09 | |
CareSource
| Professional | $433.92 | $450.74 | $450.74 | |
Cigna
| Facility | $646.26 | $646.26 | $646.26 | |
Cigna
| Professional | $361.45 | $500.48 | $1,546.53 | |
United
| Professional | $330.31 | $495.51 | $710.66 |