| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,023.29 | $1,023.29 | |
Aetna
| Professional | $467.74 | $549.54 | $630.96 | |
CareSource
| Facility | $912.01 | $912.01 | $912.01 | |
CareSource
| Professional | $812.83 | $812.83 | $812.83 | |
Cigna
| Facility | $562.34 | $1,071.52 | $2,041.74 | |
Cigna
| Professional | $3,235.94 | $3,235.94 | $3,235.94 | |
United
| Facility | $407.38 | $407.38 | $407.38 | |
United
| Professional | $281.84 | $302.00 | $851.14 |