| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.29 | $544.29 | $1,600.00 | |
Aetna
| Professional | $509.40 | $572.30 | $659.38 | |
CareSource
| Facility | $610.76 | $678.56 | $739.31 | |
CareSource
| Professional | $657.17 | $657.17 | $657.17 | |
Cigna
| Facility | $653.80 | $653.80 | $653.80 | |
Cigna
| Professional | $557.04 | $834.68 | $3,556.76 | |
United
| Professional | $473.03 | $689.93 | $1,045.06 |