| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.43 | $259.43 | $259.43 | |
Aetna
| Professional | $241.85 | $248.30 | $309.25 | |
CareSource
| Facility | $345.31 | $677.94 | $878.82 | |
CareSource
| Professional | $326.42 | $371.87 | $637.49 | |
Cigna
| Facility | $313.79 | $313.79 | $672.87 | |
Cigna
| Professional | $229.07 | $313.79 | $2,820.18 | |
United
| Professional | $209.98 | $268.43 | $417.55 |