| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.44 | $385.38 | $1,600.00 | |
Aetna
| Professional | $307.39 | $369.12 | $615.97 | |
CareSource
| Facility | $362.67 | $394.09 | $429.37 | |
CareSource
| Professional | $364.93 | $381.66 | $464.74 | |
Cigna
| Facility | $581.53 | $581.53 | $581.53 | |
Cigna
| Professional | $323.06 | $445.28 | $1,637.06 | |
United
| Professional | $288.33 | $385.98 | $557.88 |