| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.05 | $939.35 | $939.35 | |
Aetna
| Professional | $796.09 | $804.05 | $835.90 | |
CareSource
| Facility | $636.87 | $796.09 | $1,194.14 | |
CareSource
| Professional | $517.46 | $557.26 | $796.09 | |
Cigna
| Facility | $751.03 | $796.09 | $806.51 | |
Cigna
| Professional | $761.57 | $796.09 | $1,433.72 | |
United
| Professional | $517.46 | $796.09 | $992.91 |