| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.57 | $299.57 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
CareSource
| Facility | $400.48 | $400.48 | $600.72 | |
Cigna
| Facility | $517.50 | $517.50 | $517.50 | |
Cigna
| Professional | $371.73 | $371.73 | $2,169.00 | |
United
| Professional | $363.47 | $525.03 | $782.87 |