| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.66 | $1,163.01 | $1,400.00 | |
Aetna
| Professional | $729.02 | $766.97 | $1,061.96 | |
CareSource
| Facility | $796.62 | $900.66 | $981.29 | |
CareSource
| Professional | $447.48 | $872.26 | $872.26 | |
Cigna
| Facility | $852.80 | $852.80 | $852.80 | |
Cigna
| Professional | $722.93 | $1,112.80 | $2,088.26 | |
United
| Professional | $586.73 | $886.89 | $1,272.50 |