| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.47 | $478.47 | $1,400.00 | |
Aetna
| Professional | $447.36 | $496.77 | $6,249.99 | |
CareSource
| Facility | $526.15 | $526.15 | $642.13 | |
CareSource
| Professional | $570.78 | $570.78 | $570.78 | |
Cigna
| Facility | $564.91 | $564.91 | $564.91 | |
Cigna
| Professional | $459.05 | $632.28 | $1,167.19 | |
United
| Professional | $359.49 | $535.28 | $780.86 |