| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.27 | $636.09 | $763.31 | |
Aetna
| Professional | $381.65 | $417.27 | $432.54 | |
CareSource
| Facility | $508.87 | $686.97 | $839.64 | |
CareSource
| Professional | $508.87 | $686.97 | $686.97 | |
Cigna
| Facility | $413.46 | $610.64 | $1,526.50 | |
Cigna
| Professional | $200.16 | $700.45 | $2,452.75 | |
United
| Facility | $213.73 | $213.73 | $213.73 | |
United
| Professional | $213.73 | $254.44 | $737.86 |