| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.80 | $497.80 | $503.12 | |
Aetna
| Professional | $498.14 | $503.12 | $684.09 | |
CareSource
| Facility | $498.14 | $747.21 | $747.21 | |
Cigna
| Facility | $469.94 | $490.77 | $498.14 | |
Cigna
| Professional | $498.14 | $498.14 | $922.08 | |
United
| Professional | $493.87 | $498.14 | $721.46 |