| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.78 | $1,051.22 | $1,600.00 | |
Aetna
| Professional | $594.53 | $702.78 | $986.07 | |
CareSource
| Facility | $735.47 | $814.08 | $886.96 | |
CareSource
| Professional | $404.46 | $788.41 | $788.41 | |
Cigna
| Facility | $788.09 | $788.09 | $788.09 | |
Cigna
| Professional | $586.46 | $919.81 | $1,907.98 | |
United
| Professional | $526.04 | $709.57 | $1,128.43 |