| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.42 | $488.44 | $586.13 | |
Aetna
| Professional | $293.06 | $316.51 | $320.42 | |
CareSource
| Facility | $527.51 | $2,197.96 | $10,550.26 | |
CareSource
| Professional | $468.90 | $527.51 | $119,998.80 | |
Cigna
| Facility | $317.49 | $468.90 | $1,172.16 | |
Cigna
| Professional | $448.93 | $561.16 | $1,883.42 | |
United
| Professional | $164.12 | $175.84 | $390.75 |