| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $419.00 | $485.12 | $558.65 | |
CareSource
| Facility | $719.00 | $765.59 | $980.46 | |
CareSource
| Professional | $637.99 | $788.60 | $1,479.21 | |
Cigna
| Facility | $770.12 | $770.12 | $770.12 | |
Cigna
| Professional | $282.08 | $282.08 | $282.08 | |
United
| Professional | $293.18 | $318.29 | $694.42 |