| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.16 | $114.58 | $137.49 | |
Aetna
| Professional | $68.75 | $75.16 | $77.91 | |
CareSource
| Facility | $123.74 | $515.59 | $2,474.82 | |
CareSource
| Professional | $109.99 | $123.74 | $119,998.80 | |
Cigna
| Facility | $74.48 | $109.99 | $274.95 | |
Cigna
| Professional | $441.80 | $441.80 | $441.80 | |
United
| Professional | $41.25 | $47.53 | $152.78 |