| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $757.30 | $1,164.21 | $1,400.00 | |
Aetna
| Professional | $729.66 | $767.29 | $1,062.46 | |
CareSource
| Facility | $797.33 | $901.60 | $982.30 | |
CareSource
| Professional | $448.08 | $873.16 | $873.16 | |
Cigna
| Facility | $853.55 | $853.55 | $853.55 | |
Cigna
| Professional | $723.57 | $1,113.33 | $2,089.29 | |
United
| Professional | $587.02 | $873.20 | $1,273.10 |