| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.07 | $969.52 | $1,600.00 | |
Aetna
| Professional | $211.07 | $441.25 | $1,334.84 | |
CareSource
| Facility | $210.14 | $240.91 | $339.17 | |
CareSource
| Professional | $233.30 | $233.30 | $233.30 | |
Cigna
| Facility | $336.96 | $336.96 | $336.96 | |
Cigna
| Professional | $233.31 | $908.04 | $2,800.32 | |
United
| Professional | $864.78 | $1,345.22 | $2,675.46 |