| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.11 | $557.11 | $557.11 | |
Aetna
| Professional | $519.34 | $533.17 | $557.11 | |
CareSource
| Facility | $837.29 | $1,455.80 | $1,887.15 | |
CareSource
| Professional | $700.94 | $901.70 | $1,545.77 | |
Cigna
| Facility | $711.81 | $711.81 | $1,509.54 | |
Cigna
| Professional | $519.62 | $711.81 | $5,887.24 | |
United
| Professional | $450.91 | $576.42 | $896.64 |