| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.92 | $316.92 | $316.92 | |
Aetna
| Professional | $282.89 | $303.31 | $316.92 | |
CareSource
| Facility | $398.74 | $771.59 | $1,073.54 | |
CareSource
| Professional | $398.74 | $429.42 | $685.86 | |
Cigna
| Facility | $328.44 | $328.44 | $688.76 | |
Cigna
| Professional | $239.76 | $328.44 | $2,886.79 | |
United
| Professional | $237.00 | $306.04 | $461.01 |