| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.00 | $375.00 | $450.00 | |
Aetna
| Professional | $225.00 | $246.00 | $255.00 | |
CareSource
| Facility | $330.00 | $450.00 | $525.00 | |
CareSource
| Professional | $360.00 | $360.00 | $405.00 | |
Cigna
| Facility | $243.75 | $516.99 | $899.93 | |
Cigna
| Professional | $129.59 | $453.49 | $1,446.00 | |
United
| Professional | $135.00 | $150.00 | $477.79 |