| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.75 | $635.75 | $635.75 | |
Aetna
| Professional | $592.65 | $608.44 | $635.75 | |
CareSource
| Facility | $823.95 | $1,661.28 | $2,153.52 | |
CareSource
| Professional | $799.88 | $887.33 | $1,521.13 | |
Cigna
| Facility | $741.89 | $741.89 | $1,485.48 | |
Cigna
| Professional | $541.58 | $741.89 | $6,046.64 | |
United
| Professional | $470.94 | $634.16 | $1,068.86 |