| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $676.08 | $1,412.54 | |
Aetna
| Professional | $630.96 | $707.95 | $1,230.27 | |
CareSource
| Facility | $758.58 | $758.58 | $912.01 | |
CareSource
| Professional | $812.83 | $812.83 | $812.83 | |
Cigna
| Facility | $34.67 | $1,202.26 | $1,202.26 | |
Cigna
| Professional | $676.08 | $1,023.29 | $4,466.84 | |
United
| Facility | $3,548.13 | $3,548.13 | $15,135.61 | |
United
| Professional | $588.84 | $831.76 | $1,258.93 |