| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $498.70 | $760.21 | $912.26 | |
Aetna
| Professional | $456.13 | $498.70 | $516.94 | |
CareSource
| Facility | $821.03 | $3,420.96 | $16,420.59 | |
CareSource
| Professional | $729.80 | $821.03 | $119,998.80 | |
Cigna
| Facility | $494.14 | $729.80 | $1,824.36 | |
Cigna
| Professional | $2,931.38 | $2,931.38 | $2,931.38 | |
United
| Professional | $255.43 | $304.08 | $881.85 |