| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.34 | $436.51 | $440.87 | |
Aetna
| Professional | $432.02 | $432.02 | $440.87 | |
CareSource
| Facility | $432.02 | $648.03 | $648.03 | |
Cigna
| Facility | $407.57 | $432.02 | $499.77 | |
Cigna
| Professional | $432.02 | $432.02 | $753.46 | |
United
| Professional | $432.02 | $432.02 | $545.86 |