| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.19 | $290.19 | $290.19 | |
Aetna
| Professional | $290.19 | $290.19 | $383.50 | |
CareSource
| Facility | $384.66 | $798.90 | $1,035.61 | |
CareSource
| Professional | $384.66 | $414.25 | $710.14 | |
Cigna
| Facility | $400.78 | $400.78 | $768.72 | |
Cigna
| Professional | $292.57 | $400.78 | $3,221.93 | |
United
| Professional | $295.24 | $412.42 | $494.28 |