| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $621.29 | $970.91 | $1,600.00 | |
Aetna
| Professional | $620.91 | $672.97 | $936.12 | |
CareSource
| Facility | $676.27 | $751.90 | $819.21 | |
CareSource
| Professional | $373.60 | $728.18 | $728.18 | |
Cigna
| Facility | $728.34 | $728.34 | $728.34 | |
Cigna
| Professional | $618.05 | $960.41 | $1,771.19 | |
United
| Professional | $501.40 | $854.21 | $1,306.08 |