| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.41 | $948.81 | $1,138.57 | |
Aetna
| Professional | $569.29 | $622.41 | $645.19 | |
CareSource
| Facility | $675.72 | $2,732.58 | $20,494.36 | |
CareSource
| Professional | $654.41 | $1,024.72 | $119,998.80 | |
Cigna
| Facility | $616.73 | $910.86 | $2,276.94 | |
Cigna
| Professional | $3,658.62 | $3,658.62 | $3,658.62 | |
United
| Professional | $318.80 | $379.53 | $1,100.61 |