| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.09 | $359.09 | $362.78 | |
Aetna
| Professional | $359.18 | $359.19 | $413.06 | |
CareSource
| Facility | $359.19 | $538.79 | $538.79 | |
Cigna
| Facility | $338.86 | $357.23 | $359.19 | |
Cigna
| Professional | $359.19 | $359.19 | $634.22 | |
United
| Professional | $359.19 | $359.19 | $432.45 |