| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.77 | $1,400.00 | $1,700.00 | |
Aetna
| Professional | $308.77 | $459.86 | $1,710.20 | |
CareSource
| Facility | $315.36 | $356.12 | $388.00 | |
CareSource
| Professional | $344.89 | $344.89 | $344.89 | |
Cigna
| Facility | $505.67 | $505.67 | $505.67 | |
Cigna
| Professional | $402.38 | $1,372.01 | $3,103.42 | |
United
| Professional | $1,164.83 | $1,831.48 | $3,104.90 |