| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.29 | $548.29 | $2,600.00 | |
Aetna
| Professional | $516.89 | $581.16 | $660.02 | |
CareSource
| Facility | $620.26 | $686.92 | $748.41 | |
CareSource
| Professional | $665.26 | $665.26 | $665.26 | |
Cigna
| Facility | $662.94 | $662.94 | $662.94 | |
Cigna
| Professional | $570.17 | $831.57 | $3,800.98 | |
United
| Professional | $470.65 | $676.56 | $1,025.82 |