| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.22 | $300.22 | $300.22 | |
Aetna
| Professional | $257.29 | $287.32 | $336.88 | |
CareSource
| Facility | $377.72 | $726.39 | $1,016.94 | |
CareSource
| Professional | $363.89 | $406.78 | $623.80 | |
Cigna
| Facility | $379.04 | $379.04 | $682.57 | |
Cigna
| Professional | $276.70 | $276.70 | $2,860.86 | |
United
| Facility | $259.82 | $259.82 | $259.82 | |
United
| Professional | $217.37 | $289.91 | $483.18 |