| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.46 | $859.46 | $3,050.00 | |
Aetna
| Professional | $645.28 | $859.46 | $1,521.47 | |
CareSource
| Facility | $930.26 | $930.26 | $1,135.44 | |
CareSource
| Professional | $1,009.28 | $1,009.28 | $1,009.28 | |
Cigna
| Facility | $1,002.96 | $1,002.96 | $1,002.96 | |
Cigna
| Professional | $803.92 | $1,177.56 | $4,170.60 | |
United
| Professional | $685.20 | $922.38 | $1,317.39 |