| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $652.66 | $652.66 | $652.66 | |
Aetna
| Professional | $608.41 | $624.64 | $669.26 | |
CareSource
| Facility | $1,010.66 | $1,795.05 | $2,273.98 | |
CareSource
| Professional | $821.16 | $1,137.00 | $1,978.94 | |
Cigna
| Facility | $1,014.49 | $1,014.49 | $1,932.56 | |
Cigna
| Professional | $740.58 | $1,014.49 | $6,865.32 | |
United
| Professional | $528.25 | $630.26 | $1,050.44 |