| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.98 | $384.07 | $385.17 | |
Aetna
| Professional | $381.36 | $381.36 | $385.17 | |
CareSource
| Facility | $381.36 | $572.04 | $572.04 | |
Cigna
| Facility | $359.77 | $378.11 | $381.36 | |
Cigna
| Professional | $381.36 | $381.36 | $697.14 | |
United
| Professional | $381.36 | $381.36 | $451.50 |