| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.75 | $563.64 | $676.37 | |
Aetna
| Professional | $338.18 | $369.75 | $383.27 | |
CareSource
| Facility | $608.73 | $2,536.37 | $12,174.58 | |
CareSource
| Professional | $541.09 | $608.73 | $119,998.80 | |
Cigna
| Facility | $366.36 | $541.09 | $1,352.61 | |
Cigna
| Professional | $2,173.39 | $2,173.39 | $2,173.39 | |
United
| Professional | $189.38 | $225.46 | $721.46 |