| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $625.10 | $687.01 | $771.82 | |
CareSource
| Facility | $74.23 | $643.57 | $1,056.13 | |
CareSource
| Professional | $79.95 | $643.57 | $924.11 | |
Cigna
| Facility | $394.97 | $394.97 | $1,339.99 | |
Cigna
| Professional | $394.97 | $394.97 | $5,616.31 | |
United
| Professional | $474.47 | $638.91 | $1,014.90 |