| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.47 | $322.47 | $322.47 | |
Aetna
| Professional | $322.47 | $322.47 | $426.16 | |
CareSource
| Facility | $427.45 | $887.79 | $1,150.83 | |
CareSource
| Professional | $427.45 | $460.33 | $789.14 | |
Cigna
| Facility | $410.92 | $410.92 | $843.44 | |
Cigna
| Professional | $299.97 | $410.92 | $3,535.13 | |
United
| Professional | $328.08 | $439.41 | $546.79 |