| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $870.96 | $870.96 | |
Aetna
| Professional | $407.38 | $467.74 | $549.54 | |
CareSource
| Facility | $794.33 | $794.33 | $794.33 | |
CareSource
| Professional | $707.95 | $707.95 | $707.95 | |
Cigna
| Facility | $489.78 | $933.25 | $1,737.80 | |
Cigna
| Professional | $2,818.38 | $2,818.38 | $2,818.38 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $245.47 | $263.03 | $724.44 |