| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.82 | $541.82 | $541.82 | |
Aetna
| Professional | $505.09 | $518.55 | $541.82 | |
CareSource
| Facility | $702.24 | $1,415.84 | $1,835.35 | |
CareSource
| Professional | $681.70 | $756.26 | $1,296.44 | |
Cigna
| Facility | $695.41 | $695.41 | $1,266.06 | |
Cigna
| Professional | $507.65 | $695.41 | $5,153.50 | |
United
| Professional | $401.38 | $531.66 | $875.96 |