| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $695.53 | $1,067.54 | $1,400.00 | |
Aetna
| Professional | $669.15 | $704.58 | $974.42 | |
CareSource
| Facility | $731.27 | $826.73 | $900.73 | |
CareSource
| Professional | $410.83 | $800.65 | $800.65 | |
Cigna
| Facility | $782.81 | $782.81 | $782.81 | |
Cigna
| Professional | $663.59 | $1,021.28 | $1,916.01 | |
United
| Professional | $539.59 | $860.16 | $1,732.21 |