| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.86 | $306.86 | $306.86 | |
Aetna
| Professional | $286.06 | $293.68 | $306.86 | |
CareSource
| Facility | $391.90 | $801.87 | $1,039.47 | |
CareSource
| Professional | $386.09 | $422.05 | $723.52 | |
Cigna
| Facility | $380.61 | $380.61 | $706.56 | |
Cigna
| Professional | $277.85 | $277.85 | $2,885.16 | |
United
| Professional | $224.44 | $296.33 | $493.88 |