| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.92 | $539.61 | $622.58 | |
CareSource
| Facility | $71.77 | $554.03 | $738.72 | |
CareSource
| Professional | $62.80 | $583.13 | $795.54 | |
Cigna
| Facility | $581.42 | $581.42 | $1,144.45 | |
Cigna
| Professional | $581.42 | $705.09 | $763.12 | |
United
| Professional | $399.28 | $538.27 | $854.07 |