| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.47 | $696.58 | $756.07 | |
CareSource
| Facility | $75.28 | $675.07 | $941.66 | |
CareSource
| Professional | $81.06 | $608.00 | $969.35 | |
Cigna
| Facility | $542.66 | $542.66 | $1,405.54 | |
Cigna
| Professional | $542.66 | $542.66 | $5,891.05 | |
United
| Professional | $497.69 | $678.67 | $1,064.58 |