| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,555.54 | $1,612.45 | $1,612.45 | |
CareSource
| Facility | $7,337.25 | $30,571.88 | $146,745.00 | |
CareSource
| Professional | $6,522.00 | $7,337.25 | $119,998.80 | |
Cigna
| Facility | $6,522.00 | $6,522.00 | $6,522.00 | |
Cigna
| Professional | $26,196.70 | $26,196.70 | $26,196.70 | |
United
| Professional | $796.74 | $948.50 | $2,750.65 |