| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.26 | $1,400.00 | $3,550.00 | |
Aetna
| Professional | $360.26 | $537.71 | $2,317.59 | |
CareSource
| Facility | $365.78 | $416.41 | $453.69 | |
CareSource
| Professional | $403.28 | $403.28 | $403.28 | |
Cigna
| Facility | $586.52 | $586.52 | $586.52 | |
Cigna
| Professional | $470.49 | $1,590.26 | $4,369.81 | |
United
| Professional | $1,485.61 | $2,426.46 | $4,046.86 |