| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $645.65 | $691.83 | |
Aetna
| Professional | $309.03 | $371.54 | $398.11 | |
CareSource
| Facility | $630.96 | $630.96 | $630.96 | |
CareSource
| Professional | $562.34 | $562.34 | $562.34 | |
Cigna
| Facility | $389.05 | $741.31 | $1,412.54 | |
Cigna
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
United
| Facility | $281.84 | $281.84 | $281.84 | |
United
| Professional | $194.98 | $208.93 | $588.84 |