| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $3,715.35 | $3,715.35 | |
Aetna
| Professional | $1,698.24 | $1,995.26 | $2,818.38 | |
CareSource
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
CareSource
| Professional | $2,951.21 | $2,951.21 | $2,951.21 | |
Cigna
| Facility | $2,041.74 | $3,890.45 | $7,413.10 | |
Cigna
| Professional | $977.24 | $11,748.98 | $11,748.98 | |
United
| Facility | $1,479.11 | $1,479.11 | $1,479.11 | |
United
| Professional | $1,023.29 | $1,096.48 | $3,090.30 |