| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $668.00 | $750.00 | $1,001.56 | |
Aetna
| Professional | $337.51 | $337.51 | $1,217.90 | |
CareSource
| Facility | $674.93 | $3,869.65 | $8,337.42 | |
CareSource
| Professional | $264.68 | $119,998.80 | $119,998.80 | |
Cigna
| Facility | $334.42 | $334.42 | $4,638.64 | |
Cigna
| Professional | $1,013.41 | $1,013.41 | $1,013.41 | |
United
| Professional | $735.85 | $1,185.53 | $1,921.38 |