| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.56 | $513.77 | $513.85 | |
Aetna
| Professional | $508.76 | $508.76 | $513.85 | |
CareSource
| Facility | $508.76 | $763.14 | $763.14 | |
Cigna
| Facility | $479.96 | $500.00 | $508.76 | |
Cigna
| Professional | $508.76 | $508.76 | $897.50 | |
United
| Professional | $507.35 | $508.76 | $596.88 |