| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.79 | $6,895.91 | $14,901.12 | |
Aetna
| Professional | $488.79 | $899.45 | $8,693.35 | |
CareSource
| Facility | $498.90 | $562.40 | $612.75 | |
CareSource
| Professional | $544.66 | $544.66 | $544.66 | |
Cigna
| Facility | $799.98 | $799.98 | $799.98 | |
Cigna
| Professional | $635.44 | $2,165.58 | $15,444.82 | |
United
| Professional | $5,419.57 | $8,544.28 | $14,727.82 |