| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $602.56 | $1,778.28 | |
Aetna
| Professional | $501.19 | $588.84 | $724.44 | |
CareSource
| Facility | $870.96 | $10,964.78 | $41,686.94 | |
CareSource
| Professional | $812.83 | $1,047.13 | $13,803.84 | |
Cigna
| Professional | $851.14 | $851.14 | $954.99 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $309.03 | $446.68 | $741.31 |