| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.44 | $741.60 | $1,400.00 | |
Aetna
| Professional | $450.21 | $480.02 | $602.35 | |
CareSource
| Facility | $523.73 | $574.30 | $625.73 | |
CareSource
| Professional | $285.37 | $556.20 | $556.20 | |
Cigna
| Facility | $554.52 | $554.52 | $554.52 | |
Cigna
| Professional | $407.33 | $646.20 | $1,292.23 | |
United
| Professional | $383.13 | $532.69 | $791.80 |