| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.34 | $218.51 | $262.22 | |
Aetna
| Professional | $131.11 | $143.34 | $148.59 | |
CareSource
| Facility | $235.99 | $983.31 | $4,719.88 | |
CareSource
| Professional | $209.77 | $235.99 | $119,998.80 | |
Cigna
| Facility | $142.04 | $209.77 | $524.40 | |
Cigna
| Professional | $842.58 | $842.58 | $842.58 | |
United
| Professional | $73.42 | $87.41 | $253.47 |