| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.25 | $525.25 | $1,600.00 | |
Aetna
| Professional | $469.03 | $525.25 | $591.77 | |
CareSource
| Facility | $617.65 | $711.17 | $774.83 | |
CareSource
| Professional | $688.74 | $688.74 | $688.74 | |
Cigna
| Facility | $665.44 | $665.44 | $665.44 | |
Cigna
| Professional | $556.72 | $822.06 | $3,406.20 | |
United
| Professional | $463.10 | $664.82 | $1,081.48 |