| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $587.39 | $587.39 | $587.39 | |
Aetna
| Professional | $462.53 | $562.16 | $587.39 | |
CareSource
| Facility | $739.04 | $1,421.24 | $1,989.73 | |
CareSource
| Professional | $636.16 | $795.89 | $1,090.56 | |
Cigna
| Facility | $567.88 | $567.88 | $1,198.52 | |
Cigna
| Professional | $414.55 | $414.55 | $5,023.35 | |
United
| Professional | $380.00 | $567.23 | $945.38 |