| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.57 | $315.57 | $1,600.00 | |
Aetna
| Professional | $273.07 | $328.91 | $366.52 | |
CareSource
| Facility | $356.33 | $397.18 | $432.73 | |
CareSource
| Professional | $384.65 | $384.65 | $384.65 | |
Cigna
| Facility | $384.91 | $384.91 | $384.91 | |
Cigna
| Professional | $328.26 | $459.20 | $1,907.84 | |
United
| Professional | $261.14 | $369.30 | $563.69 |