| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.59 | $858.67 | $1,700.00 | |
Aetna
| Professional | $548.37 | $594.33 | $828.08 | |
CareSource
| Facility | $597.71 | $664.98 | $724.50 | |
CareSource
| Professional | $330.38 | $644.00 | $644.00 | |
Cigna
| Facility | $643.16 | $643.16 | $643.16 | |
Cigna
| Professional | $546.63 | $850.54 | $1,569.21 | |
United
| Professional | $443.87 | $751.34 | $1,225.93 |