| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.57 | $344.57 | $344.57 | |
Aetna
| Professional | $344.57 | $344.57 | $383.49 | |
CareSource
| Facility | $462.26 | $948.63 | $1,229.71 | |
CareSource
| Professional | $456.75 | $497.82 | $853.40 | |
Cigna
| Facility | $564.36 | $564.36 | $857.79 | |
Cigna
| Professional | $411.98 | $564.36 | $3,595.24 | |
United
| Professional | $350.56 | $440.60 | $584.27 |