| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $582.71 | $648.00 | $699.26 | |
Aetna
| Professional | $349.63 | $396.24 | $396.24 | |
CareSource
| Facility | $629.33 | $2,622.21 | $12,586.60 | |
CareSource
| Professional | $559.40 | $629.33 | $119,998.80 | |
Cigna
| Facility | $378.76 | $559.40 | $1,398.39 | |
Cigna
| Professional | $2,246.94 | $2,246.94 | $2,246.94 | |
United
| Professional | $195.79 | $233.09 | $675.95 |