| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,111.21 | $3,218.31 | $3,861.97 | |
Aetna
| Professional | $1,930.99 | $2,111.21 | $2,188.44 | |
CareSource
| Facility | $3,475.78 | $14,482.41 | $69,515.56 | |
CareSource
| Professional | $3,089.58 | $3,475.78 | $119,998.80 | |
Cigna
| Facility | $2,091.90 | $3,089.58 | $7,723.29 | |
Cigna
| Professional | $12,409.81 | $12,409.81 | $12,409.81 | |
United
| Professional | $1,081.34 | $1,287.33 | $3,733.24 |