| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $562.34 | $562.34 | |
Aetna
| Professional | $436.52 | $549.54 | $831.76 | |
CareSource
| Facility | $724.44 | $724.44 | $1,513.56 | |
CareSource
| Professional | $776.25 | $776.25 | $1,318.26 | |
Cigna
| Facility | $616.60 | $1,737.80 | $1,737.80 | |
Cigna
| Professional | $446.68 | $446.68 | $5,248.07 | |
United
| Facility | $489.78 | $489.78 | $1,148.15 | |
United
| Professional | $467.74 | $660.69 | $1,023.29 |