| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $477.87 | $545.82 | $653.21 | |
CareSource
| Facility | $70.55 | $70.55 | $705.51 | |
CareSource
| Professional | $75.98 | $75.98 | $759.78 | |
Cigna
| Facility | $359.59 | $359.59 | $913.79 | |
Cigna
| Professional | $359.59 | $359.59 | $3,821.34 | |
United
| Professional | $416.85 | $605.21 | $1,063.52 |