| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.89 | $394.89 | $394.89 | |
Aetna
| Professional | $307.13 | $394.89 | $424.72 | |
CareSource
| Facility | $523.45 | $990.45 | $1,409.29 | |
CareSource
| Professional | $422.79 | $563.72 | $724.78 | |
Cigna
| Facility | $427.13 | $427.13 | $792.81 | |
Cigna
| Professional | $311.80 | $427.13 | $3,322.91 | |
United
| Professional | $393.37 | $454.00 | $669.60 |