| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.44 | $204.95 | $245.94 | |
Aetna
| Professional | $122.97 | $134.44 | $139.37 | |
CareSource
| Facility | $221.35 | $922.28 | $4,426.92 | |
CareSource
| Professional | $196.75 | $221.35 | $119,998.80 | |
Cigna
| Facility | $133.21 | $196.75 | $491.82 | |
Cigna
| Professional | $790.29 | $790.29 | $790.29 | |
United
| Professional | $73.78 | $85.02 | $273.27 |