| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.09 | $1,266.14 | $1,700.00 | |
Aetna
| Professional | $366.09 | $543.50 | $1,464.28 | |
CareSource
| Facility | $363.21 | $420.90 | $458.58 | |
CareSource
| Professional | $407.63 | $407.63 | $407.63 | |
Cigna
| Facility | $582.40 | $582.40 | $582.40 | |
Cigna
| Professional | $475.57 | $1,184.35 | $3,234.04 | |
United
| Professional | $995.75 | $1,865.94 | $3,504.81 |