| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.77 | $305.77 | $305.77 | |
Aetna
| Professional | $305.77 | $305.77 | $404.11 | |
CareSource
| Facility | $498.87 | $841.85 | $1,091.28 | |
CareSource
| Professional | $405.33 | $540.72 | $926.94 | |
Cigna
| Facility | $389.66 | $389.66 | $905.22 | |
Cigna
| Professional | $284.45 | $389.66 | $3,321.61 | |
United
| Professional | $311.10 | $411.10 | $518.50 |