| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $715.20 | $715.20 | $715.20 | |
Aetna
| Professional | $708.89 | $715.20 | $769.23 | |
CareSource
| Facility | $976.61 | $1,969.00 | $2,552.41 | |
CareSource
| Professional | $948.04 | $1,051.73 | $1,802.96 | |
Cigna
| Facility | $967.10 | $967.10 | $1,760.71 | |
Cigna
| Professional | $705.98 | $967.10 | $7,166.95 | |
United
| Professional | $727.64 | $1,003.23 | $1,212.74 |