| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.44 | $388.44 | $388.44 | |
Aetna
| Professional | $385.01 | $388.44 | $417.78 | |
CareSource
| Facility | $530.41 | $1,069.42 | $1,386.28 | |
CareSource
| Professional | $514.90 | $571.21 | $979.21 | |
Cigna
| Facility | $525.23 | $525.23 | $956.26 | |
Cigna
| Professional | $383.42 | $525.23 | $3,892.58 | |
United
| Professional | $395.20 | $535.78 | $654.84 |