| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $949.38 | $1,079.93 | $1,186.73 | |
CareSource
| Facility | $116.70 | $202.64 | $1,388.47 | |
CareSource
| Professional | $125.68 | $204.71 | $280.58 | |
Cigna
| Facility | $504.00 | $504.00 | $2,064.88 | |
Cigna
| Professional | $141.11 | $504.00 | $1,259.36 | |
United
| Professional | $916.26 | $1,194.70 | $2,231.00 |