| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.43 | $494.43 | $500.50 | |
Aetna
| Professional | $495.55 | $495.55 | $500.50 | |
CareSource
| Facility | $495.55 | $743.33 | $743.33 | |
Cigna
| Facility | $467.50 | $484.40 | $495.55 | |
Cigna
| Professional | $495.55 | $495.55 | $912.90 | |
United
| Professional | $480.68 | $495.55 | $560.99 |