| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $623.20 | $950.00 | $1,140.00 | |
Aetna
| Professional | $570.00 | $623.20 | $646.00 | |
CareSource
| Facility | $836.00 | $1,140.00 | $1,330.00 | |
CareSource
| Professional | $912.00 | $912.00 | $1,026.00 | |
Cigna
| Facility | $617.50 | $912.00 | $2,279.81 | |
Cigna
| Professional | $236.36 | $827.13 | $3,663.20 | |
United
| Professional | $252.88 | $301.05 | $950.00 |