| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $720.12 | $847.13 | $900.15 | |
CareSource
| Facility | $89.09 | $109.65 | $823.54 | |
CareSource
| Professional | $89.09 | $95.94 | $886.89 | |
Cigna
| Facility | $359.59 | $359.59 | $1,295.55 | |
Cigna
| Professional | $94.09 | $359.59 | $5,417.87 | |
United
| Professional | $461.06 | $564.23 | $933.69 |