| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,284.17 | $6,530.75 | $7,836.90 | |
Aetna
| Professional | $3,918.45 | $4,284.17 | $4,440.91 | |
CareSource
| Facility | $7,053.21 | $29,388.38 | $141,064.20 | |
CareSource
| Professional | $6,269.52 | $7,053.21 | $119,998.80 | |
Cigna
| Facility | $4,244.99 | $6,269.52 | $15,672.49 | |
Cigna
| Professional | $25,182.57 | $25,182.57 | $25,182.57 | |
United
| Professional | $2,194.33 | $2,612.30 | $7,575.67 |