| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $731.13 | $877.35 | |
Aetna
| Professional | $438.68 | $479.62 | $497.17 | |
CareSource
| Facility | $789.62 | $3,290.06 | $15,792.30 | |
CareSource
| Professional | $701.88 | $789.62 | $119,998.80 | |
Cigna
| Facility | $475.24 | $701.88 | $1,754.58 | |
Cigna
| Professional | $2,819.22 | $2,819.22 | $2,819.22 | |
United
| Professional | $245.66 | $292.45 | $789.62 |