| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $674.08 | $674.08 | $1,400.00 | |
Aetna
| Professional | $628.69 | $704.70 | $811.33 | |
CareSource
| Facility | $753.18 | $838.63 | $913.71 | |
CareSource
| Professional | $812.18 | $812.18 | $812.18 | |
Cigna
| Facility | $805.64 | $805.64 | $805.64 | |
Cigna
| Professional | $684.13 | $1,033.18 | $4,338.99 | |
United
| Professional | $549.80 | $808.99 | $1,284.83 |