| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.52 | $1,062.58 | $1,600.00 | |
Aetna
| Professional | $619.75 | $720.88 | $1,141.64 | |
CareSource
| Facility | $718.62 | $822.90 | $896.56 | |
CareSource
| Professional | $408.84 | $796.94 | $796.94 | |
Cigna
| Facility | $781.03 | $781.03 | $781.03 | |
Cigna
| Professional | $656.33 | $938.08 | $2,023.27 | |
United
| Professional | $457.20 | $819.47 | $1,062.58 |