| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.00 | $921.82 | $921.82 | |
CareSource
| Facility | $1,107.32 | $1,107.32 | $1,160.05 | |
Cigna
| Facility | $624.00 | $624.00 | $1,970.00 | |
United
| Professional | $801.78 | $884.67 | $884.67 |