| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.56 | $513.66 | $1,600.00 | |
Aetna
| Professional | $319.01 | $479.66 | $573.55 | |
CareSource
| Facility | $371.94 | $420.14 | $457.76 | |
CareSource
| Professional | $406.90 | $406.90 | $406.90 | |
Cigna
| Facility | $596.40 | $596.40 | $596.40 | |
Cigna
| Professional | $359.75 | $582.04 | $1,342.51 | |
United
| Professional | $359.36 | $618.57 | $742.67 |