| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.26 | $534.54 | $1,191.50 | |
Aetna
| Professional | $529.25 | $529.26 | $726.83 | |
CareSource
| Facility | $529.26 | $793.89 | $793.89 | |
Cigna
| Facility | $499.30 | $529.26 | $1,173.00 | |
Cigna
| Professional | $529.26 | $529.26 | $983.00 | |
United
| Professional | $529.26 | $529.26 | $1,380.00 |