| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.38 | $904.05 | $904.05 | |
Aetna
| Professional | $452.03 | $482.16 | $512.29 | |
CareSource
| Facility | $813.65 | $3,390.19 | $16,272.90 | |
CareSource
| Professional | $723.24 | $813.65 | $119,998.80 | |
Cigna
| Facility | $489.70 | $723.24 | $1,807.97 | |
Cigna
| Professional | $2,905.01 | $2,905.01 | $2,905.01 | |
United
| Professional | $253.13 | $301.35 | $873.92 |