| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.33 | $310.33 | $310.33 | |
Aetna
| Professional | $268.10 | $310.33 | $333.79 | |
CareSource
| Facility | $411.37 | $791.10 | $1,107.54 | |
CareSource
| Professional | $351.04 | $443.02 | $601.78 | |
Cigna
| Facility | $344.22 | $344.22 | $629.49 | |
Cigna
| Professional | $251.28 | $344.22 | $2,638.37 | |
United
| Professional | $309.16 | $376.87 | $526.24 |