| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.51 | $554.14 | $664.97 | |
Aetna
| Professional | $332.48 | $363.51 | $376.81 | |
CareSource
| Facility | $598.47 | $2,493.62 | $11,969.38 | |
CareSource
| Professional | $531.97 | $598.47 | $119,998.80 | |
Cigna
| Facility | $360.19 | $432.23 | $531.97 | |
Cigna
| Professional | $2,136.75 | $2,136.75 | $2,136.75 | |
United
| Professional | $186.19 | $221.66 | $642.79 |