| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.51 | $496.51 | $501.71 | |
Aetna
| Professional | $496.74 | $496.74 | $501.71 | |
CareSource
| Facility | $496.74 | $745.11 | $745.11 | |
Cigna
| Facility | $468.62 | $496.68 | $496.74 | |
Cigna
| Professional | $496.74 | $496.74 | $927.16 | |
United
| Professional | $496.74 | $496.74 | $567.88 |