| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.63 | $531.63 | $1,400.00 | |
Aetna
| Professional | $496.07 | $556.28 | $641.01 | |
CareSource
| Facility | $594.84 | $662.24 | $721.53 | |
CareSource
| Professional | $641.36 | $641.36 | $641.36 | |
Cigna
| Facility | $635.94 | $635.94 | $635.94 | |
Cigna
| Professional | $540.54 | $814.08 | $3,417.21 | |
United
| Professional | $461.94 | $686.85 | $1,013.92 |