| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.48 | $387.48 | $387.48 | |
Aetna
| Professional | $384.07 | $387.48 | $416.76 | |
CareSource
| Facility | $513.64 | $1,066.78 | $1,382.87 | |
CareSource
| Professional | $513.64 | $553.15 | $948.25 | |
Cigna
| Facility | $589.44 | $589.44 | $970.73 | |
Cigna
| Professional | $430.29 | $589.44 | $4,068.61 | |
United
| Professional | $369.60 | $550.70 | $657.05 |