| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.56 | $300.56 | $300.56 | |
Aetna
| Professional | $238.11 | $287.64 | $307.44 | |
CareSource
| Facility | $378.16 | $817.98 | $1,047.20 | |
CareSource
| Professional | $378.16 | $407.25 | $698.14 | |
Cigna
| Facility | $378.92 | $378.92 | $765.82 | |
Cigna
| Professional | $276.61 | $378.92 | $3,209.78 | |
United
| Professional | $243.26 | $313.08 | $483.74 |