| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.65 | $614.65 | $614.65 | |
Aetna
| Professional | $565.57 | $588.26 | $630.50 | |
CareSource
| Facility | $773.32 | $1,550.03 | $2,082.03 | |
CareSource
| Professional | $773.32 | $832.81 | $1,371.23 | |
Cigna
| Facility | $714.02 | $714.02 | $1,489.56 | |
Cigna
| Professional | $521.23 | $714.02 | $6,243.20 | |
United
| Professional | $477.80 | $625.86 | $989.25 |