| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,059.22 | $1,059.22 | $1,462.73 | |
Aetna
| Professional | $504.39 | $1,059.22 | $1,059.22 | |
CareSource
| Facility | $882.68 | $882.68 | $882.68 | |
CareSource
| Professional | $546.41 | $546.41 | $840.65 | |
Cigna
| Facility | $546.41 | $633.85 | $1,256.77 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
United
| Professional | $353.07 | $504.39 | $840.65 |