| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.37 | $457.37 | $457.37 | |
Aetna
| Professional | $426.36 | $437.72 | $498.78 | |
CareSource
| Facility | $575.45 | $1,163.07 | $1,549.28 | |
CareSource
| Professional | $575.45 | $619.71 | $1,033.83 | |
Cigna
| Facility | $501.14 | $501.14 | $1,057.49 | |
Cigna
| Professional | $365.83 | $501.14 | $4,432.28 | |
United
| Professional | $335.36 | $444.21 | $736.11 |