| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.58 | $506.58 | $506.58 | |
Aetna
| Professional | $432.05 | $484.83 | $506.58 | |
CareSource
| Facility | $637.36 | $1,225.70 | $1,715.98 | |
CareSource
| Professional | $611.04 | $686.39 | $1,047.50 | |
Cigna
| Facility | $579.51 | $579.51 | $1,049.85 | |
Cigna
| Professional | $423.04 | $731.52 | $878.08 | |
United
| Professional | $402.71 | $588.34 | $1,262.27 |