| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.33 | $548.33 | $548.33 | |
Aetna
| Professional | $511.16 | $524.78 | $548.33 | |
CareSource
| Facility | $710.67 | $1,432.88 | $1,857.43 | |
CareSource
| Professional | $689.90 | $765.34 | $1,312.01 | |
Cigna
| Facility | $607.01 | $607.01 | $1,281.25 | |
Cigna
| Professional | $443.12 | $801.24 | $961.77 | |
United
| Professional | $406.20 | $529.51 | $830.71 |