| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,258.93 | $1,258.93 | |
Aetna
| Professional | $562.34 | $676.08 | $954.99 | |
CareSource
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
CareSource
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Cigna
| Facility | $691.83 | $1,348.96 | $2,511.89 | |
Cigna
| Professional | $954.99 | $4,073.80 | $4,073.80 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $354.81 | $380.19 | $831.76 |