| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.98 | $374.98 | $381.42 | |
Aetna
| Professional | $366.15 | $374.98 | $374.98 | |
CareSource
| Facility | $5.86 | $6.05 | $10.59 | |
Cigna
| Facility | $374.98 | $374.98 | $374.98 | |
Cigna
| Professional | $374.98 | $374.98 | $419.09 | |
United
| Professional | $367.63 | $367.63 | $441.15 |