| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.08 | $350.08 | $1,600.00 | |
Aetna
| Professional | $331.16 | $383.93 | $445.57 | |
CareSource
| Facility | $1,408.05 | $6,649.13 | $13,141.80 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 | |
Cigna
| Facility | $417.74 | $417.74 | $417.74 | |
Cigna
| Professional | $1,646.42 | $1,646.42 | $1,646.42 | |
United
| Professional | $293.42 | $468.38 | $942.49 |