| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $591.16 | $591.16 | $3,550.00 | |
Aetna
| Professional | $543.14 | $597.05 | $699.84 | |
CareSource
| Facility | $676.53 | $748.44 | $815.43 | |
CareSource
| Professional | $724.82 | $724.82 | $724.82 | |
Cigna
| Facility | $728.08 | $728.08 | $728.08 | |
Cigna
| Professional | $628.16 | $963.72 | $3,024.65 | |
United
| Professional | $494.11 | $679.40 | $1,139.92 |