| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $758.58 | $758.58 | |
Aetna
| Professional | $338.84 | $398.11 | $478.63 | |
CareSource
| Facility | $691.83 | $691.83 | $691.83 | |
CareSource
| Professional | $616.60 | $616.60 | $616.60 | |
Cigna
| Facility | $426.58 | $812.83 | $1,548.82 | |
Cigna
| Professional | $588.84 | $2,454.71 | $2,454.71 | |
United
| Professional | $213.80 | $229.09 | $512.86 |