| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,179.94 | $2,615.92 | $2,615.92 | |
CareSource
| Facility | $2,354.33 | $9,809.71 | $47,086.66 | |
CareSource
| Professional | $2,092.73 | $2,354.33 | $119,998.80 | |
Cigna
| Facility | $1,416.96 | $2,092.73 | $5,231.43 | |
Cigna
| Professional | $8,405.84 | $8,405.84 | $8,405.84 | |
United
| Professional | $469.55 | $558.99 | $1,621.07 |