| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,819.70 | $1,905.46 | $2,137.96 | |
CareSource
| Facility | $6,606.93 | $6,606.93 | $6,606.93 | |
CareSource
| Professional | $5,888.44 | $5,888.44 | $5,888.44 | |
Cigna
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Cigna
| Professional | $23,988.33 | $23,988.33 | $23,988.33 | |
United
| Professional | $1,047.13 | $1,122.02 | $3,388.44 |