| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.64 | $370.38 | $370.38 | |
Aetna
| Professional | $145.28 | $145.28 | $145.28 | |
CareSource
| Facility | $333.34 | $1,388.93 | $6,666.84 | |
CareSource
| Professional | $296.30 | $333.34 | $119,998.80 | |
Cigna
| Facility | $157.38 | $296.30 | $581.07 | |
Cigna
| Professional | $283.73 | $354.66 | $1,190.15 | |
United
| Professional | $86.36 | $96.86 | $277.60 |