| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.72 | $236.72 | $1,400.00 | |
Aetna
| Professional | $221.34 | $259.45 | $1,632.38 | |
CareSource
| Facility | $181.75 | $247.85 | $317.83 | |
CareSource
| Professional | $198.28 | $282.52 | $72,899.27 | |
Cigna
| Facility | $297.22 | $297.22 | $297.22 | |
Cigna
| Professional | $224.01 | $326.70 | $577.50 | |
United
| Professional | $165.75 | $244.57 | $460.30 |