| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.40 | $650.00 | $780.00 | |
Aetna
| Professional | $390.00 | $426.40 | $442.00 | |
CareSource
| Facility | $572.00 | $780.00 | $910.00 | |
CareSource
| Professional | $624.00 | $624.00 | $702.00 | |
Cigna
| Facility | $422.50 | $624.00 | $1,559.87 | |
Cigna
| Professional | $2,506.40 | $2,506.40 | $2,506.40 | |
United
| Professional | $218.40 | $260.00 | $754.00 |