| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $499.77 | $800.91 | $961.10 | |
Aetna
| Professional | $480.55 | $480.55 | $499.77 | |
CareSource
| Facility | $864.99 | $3,604.11 | $17,299.72 | |
CareSource
| Professional | $768.88 | $864.99 | $119,998.80 | |
Cigna
| Facility | $520.59 | $768.88 | $1,922.01 | |
Cigna
| Professional | $668.63 | $835.78 | $3,088.32 | |
United
| Professional | $269.11 | $288.33 | $864.99 |