| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.12 | $545.12 | $545.12 | |
Aetna
| Professional | $508.17 | $521.72 | $580.03 | |
CareSource
| Facility | $706.50 | $1,424.47 | $1,846.53 | |
CareSource
| Professional | $685.85 | $760.84 | $1,304.30 | |
Cigna
| Facility | $702.03 | $702.03 | $1,273.74 | |
Cigna
| Professional | $512.48 | $702.03 | $5,184.87 | |
United
| Professional | $403.82 | $526.41 | $877.36 |