| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.36 | $343.54 | $412.25 | |
Aetna
| Professional | $206.12 | $225.36 | $233.61 | |
CareSource
| Facility | $371.02 | $1,545.92 | $7,420.42 | |
CareSource
| Professional | $329.80 | $371.02 | $119,998.80 | |
Cigna
| Facility | $223.30 | $329.80 | $824.42 | |
Cigna
| Professional | $1,324.68 | $1,324.68 | $1,324.68 | |
United
| Facility | $164.90 | $164.90 | $164.90 | |
United
| Professional | $115.43 | $137.41 | $398.50 |