| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,142.50 | $1,371.00 | $1,371.00 | |
CareSource
| Facility | $1,005.40 | $1,371.00 | $1,599.50 | |
CareSource
| Professional | $1,096.80 | $1,096.80 | $1,233.90 | |
Cigna
| Facility | $742.63 | $1,096.80 | $2,741.77 | |
Cigna
| Professional | $4,405.47 | $4,405.47 | $4,405.47 | |
United
| Professional | $383.88 | $457.00 | $1,233.90 |