| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.33 | $526.33 | $1,600.00 | |
Aetna
| Professional | $473.46 | $526.33 | $593.79 | |
CareSource
| Facility | $620.32 | $707.30 | $770.62 | |
CareSource
| Professional | $685.00 | $685.00 | $685.00 | |
Cigna
| Facility | $671.11 | $671.11 | $671.11 | |
Cigna
| Professional | $566.79 | $797.75 | $3,156.45 | |
United
| Professional | $445.71 | $678.71 | $1,117.31 |