| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.29 | $747.39 | $896.87 | |
Aetna
| Professional | $448.43 | $490.29 | $508.22 | |
CareSource
| Facility | $807.18 | $3,363.25 | $16,143.58 | |
CareSource
| Professional | $717.49 | $807.18 | $119,998.80 | |
Cigna
| Facility | $485.80 | $717.49 | $1,793.57 | |
Cigna
| Professional | $2,881.93 | $2,881.93 | $2,881.93 | |
United
| Facility | $358.75 | $358.75 | $358.75 | |
United
| Professional | $251.12 | $298.95 | $866.97 |