| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $591.91 | $905.18 | $2,300.00 | |
Aetna
| Professional | $494.38 | $585.62 | $782.16 | |
CareSource
| Facility | $622.15 | $701.00 | $763.75 | |
CareSource
| Professional | $348.30 | $678.89 | $678.89 | |
Cigna
| Facility | $666.60 | $666.60 | $666.60 | |
Cigna
| Professional | $482.41 | $745.80 | $1,507.41 | |
United
| Professional | $393.65 | $585.21 | $897.17 |