| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.86 | $609.86 | $609.86 | |
Aetna
| Professional | $568.51 | $583.66 | $609.86 | |
CareSource
| Facility | $790.43 | $1,593.63 | $2,065.82 | |
CareSource
| Professional | $767.31 | $851.24 | $1,459.26 | |
Cigna
| Facility | $944.53 | $944.53 | $1,425.06 | |
Cigna
| Professional | $689.51 | $944.53 | $5,800.68 | |
United
| Professional | $451.78 | $598.42 | $981.54 |