| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.38 | $655.38 | $655.38 | |
Aetna
| Professional | $564.87 | $627.23 | $659.53 | |
CareSource
| Facility | $824.57 | $1,585.71 | $2,220.00 | |
CareSource
| Professional | $798.90 | $888.00 | $1,369.54 | |
Cigna
| Facility | $713.15 | $713.15 | $1,492.33 | |
Cigna
| Professional | $520.60 | $713.15 | $6,254.82 | |
United
| Professional | $477.22 | $632.88 | $1,059.53 |