| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.67 | $723.21 | $723.21 | |
Aetna
| Professional | $361.61 | $361.61 | $361.61 | |
CareSource
| Facility | $650.89 | $2,712.04 | $13,017.78 | |
CareSource
| Professional | $578.57 | $650.89 | $119,998.80 | |
Cigna
| Facility | $391.74 | $578.57 | $1,446.29 | |
Cigna
| Professional | $2,323.91 | $2,323.91 | $2,323.91 | |
United
| Facility | $202.50 | $202.50 | $202.50 | |
United
| Professional | $87.07 | $103.66 | $300.60 |