| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.78 | $572.78 | $1,400.00 | |
Aetna
| Professional | $534.41 | $599.73 | $690.11 | |
CareSource
| Facility | $640.28 | $712.63 | $776.43 | |
CareSource
| Professional | $690.16 | $690.16 | $690.16 | |
Cigna
| Facility | $685.57 | $685.57 | $685.57 | |
Cigna
| Professional | $581.82 | $876.73 | $3,683.45 | |
United
| Professional | $497.72 | $805.18 | $1,094.82 |