| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $708.97 | $708.97 | $708.97 | |
Aetna
| Professional | $660.91 | $678.53 | $708.97 | |
CareSource
| Facility | $918.86 | $1,852.62 | $2,401.54 | |
CareSource
| Professional | $892.00 | $989.54 | $1,696.36 | |
Cigna
| Facility | $907.46 | $907.46 | $1,656.60 | |
Cigna
| Professional | $662.45 | $1,041.27 | $1,249.89 | |
United
| Professional | $525.20 | $695.67 | $1,146.18 |