| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.20 | $268.20 | $395.98 | |
Aetna
| Professional | $392.06 | $392.06 | $395.98 | |
CareSource
| Facility | $392.06 | $588.09 | $588.09 | |
Cigna
| Facility | $369.87 | $384.42 | $392.06 | |
Cigna
| Professional | $392.06 | $392.06 | $724.58 | |
United
| Professional | $384.42 | $392.06 | $452.26 |