| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.94 | $573.94 | $1,700.00 | |
Aetna
| Professional | $521.84 | $585.01 | $654.28 | |
CareSource
| Facility | $605.12 | $669.16 | $729.05 | |
CareSource
| Professional | $648.04 | $648.04 | $648.04 | |
Cigna
| Facility | $648.12 | $648.12 | $648.12 | |
Cigna
| Professional | $557.48 | $810.06 | $4,261.87 | |
United
| Professional | $459.47 | $671.73 | $1,000.85 |