| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.22 | $1,167.73 | $1,400.00 | |
Aetna
| Professional | $254.22 | $379.42 | $1,602.05 | |
CareSource
| Facility | $293.83 | $293.83 | $293.83 | |
Cigna
| Facility | $411.94 | $411.94 | $411.94 | |
Cigna
| Professional | $332.00 | $1,099.21 | $2,807.56 | |
United
| Professional | $961.12 | $1,681.96 | $3,101.98 |