| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.66 | $903.36 | $1,400.00 | |
Aetna
| Professional | $604.42 | $660.43 | $1,035.15 | |
CareSource
| Facility | $610.33 | $699.58 | $762.21 | |
CareSource
| Professional | $347.51 | $677.52 | $677.52 | |
Cigna
| Facility | $654.41 | $654.41 | $654.41 | |
Cigna
| Professional | $553.30 | $897.95 | $1,990.07 | |
United
| Professional | $533.99 | $792.89 | $1,130.00 |