| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $645.65 | $794.33 | $1,000.00 | |
CareSource
| Facility | $851.14 | $851.14 | $1,023.29 | |
CareSource
| Professional | $912.01 | $912.01 | $912.01 | |
Cigna
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
Cigna
| Professional | $660.69 | $977.24 | $3,890.45 | |
United
| Professional | $380.19 | $645.65 | $1,148.15 |