| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.42 | $3,303.79 | $3,303.79 | |
Aetna
| Professional | $204.97 | $286.91 | $375.96 | |
CareSource
| Facility | $230.56 | $276.67 | $301.44 | |
CareSource
| Professional | $267.95 | $267.95 | $267.95 | |
Cigna
| Facility | $400.81 | $400.81 | $400.81 | |
Cigna
| Professional | $223.74 | $331.83 | $860.15 | |
United
| Professional | $250.91 | $341.10 | $499.32 |