| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.38 | $573.38 | $573.38 | |
Aetna
| Professional | $515.57 | $548.75 | $573.38 | |
CareSource
| Facility | $721.41 | $1,406.25 | $1,942.26 | |
CareSource
| Professional | $721.41 | $776.90 | $1,250.00 | |
Cigna
| Facility | $740.83 | $740.83 | $1,376.37 | |
Cigna
| Professional | $540.80 | $740.83 | $5,768.77 | |
United
| Professional | $435.56 | $560.55 | $922.82 |