| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.92 | $337.92 | $337.92 | |
Aetna
| Professional | $315.01 | $323.41 | $354.02 | |
CareSource
| Facility | $457.09 | $883.02 | $1,144.66 | |
CareSource
| Professional | $425.16 | $492.25 | $843.86 | |
Cigna
| Facility | $408.71 | $408.71 | $846.12 | |
Cigna
| Professional | $298.36 | $408.71 | $3,546.36 | |
United
| Professional | $273.50 | $368.30 | $568.15 |