| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.33 | $962.46 | $2,300.00 | |
Aetna
| Professional | $525.55 | $628.33 | $757.24 | |
CareSource
| Facility | $656.87 | $745.36 | $812.08 | |
CareSource
| Professional | $370.41 | $721.85 | $721.85 | |
Cigna
| Facility | $702.41 | $702.41 | $702.41 | |
Cigna
| Professional | $527.45 | $838.44 | $1,725.62 | |
United
| Professional | $457.50 | $665.39 | $993.51 |