| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.83 | $143.04 | $171.65 | |
Aetna
| Professional | $85.82 | $93.83 | $97.27 | |
CareSource
| Facility | $154.47 | $643.66 | $3,089.62 | |
CareSource
| Professional | $137.32 | $154.47 | $119,998.80 | |
Cigna
| Facility | $92.98 | $137.32 | $343.26 | |
Cigna
| Professional | $551.54 | $551.54 | $551.54 | |
United
| Professional | $48.06 | $57.22 | $165.92 |