| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.58 | $532.58 | $537.91 | |
Aetna
| Professional | $529.89 | $535.19 | $727.69 | |
CareSource
| Facility | $529.89 | $794.84 | $794.84 | |
Cigna
| Facility | $499.90 | $527.09 | $529.89 | |
Cigna
| Professional | $529.89 | $529.89 | $994.58 | |
United
| Professional | $521.73 | $529.89 | $767.44 |