| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $760.00 | $760.00 | |
Aetna
| Professional | $753.30 | $760.00 | $817.41 | |
CareSource
| Facility | $1,037.78 | $2,092.37 | $2,712.33 | |
CareSource
| Professional | $1,007.44 | $1,117.60 | $1,915.90 | |
Cigna
| Facility | $886.63 | $886.63 | $1,870.99 | |
Cigna
| Professional | $647.24 | $886.63 | $7,617.62 | |
United
| Professional | $773.22 | $988.85 | $1,288.70 |