| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $520.98 | $625.16 | |
Aetna
| Professional | $416.78 | $416.78 | $539.22 | |
CareSource
| Facility | $562.65 | $1,500.41 | $11,253.06 | |
CareSource
| Professional | $500.14 | $562.65 | $119,998.80 | |
Cigna
| Facility | $338.64 | $406.37 | $500.14 | |
Cigna
| Professional | $2,008.88 | $2,008.88 | $2,008.88 | |
United
| Professional | $160.75 | $183.28 | $562.65 |