| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.85 | $659.84 | $791.81 | |
Aetna
| Professional | $395.90 | $432.85 | $448.69 | |
CareSource
| Facility | $712.62 | $2,969.27 | $14,252.50 | |
CareSource
| Professional | $633.44 | $712.62 | $119,998.80 | |
Cigna
| Facility | $428.90 | $633.44 | $1,583.50 | |
Cigna
| Professional | $2,544.33 | $2,544.33 | $2,544.33 | |
United
| Professional | $221.71 | $263.94 | $765.41 |