| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.23 | $33.89 | $40.67 | |
Aetna
| Professional | $20.32 | $21.96 | $22.23 | |
CareSource
| Facility | $36.60 | $152.50 | $731.98 | |
CareSource
| Professional | $32.53 | $36.60 | $119,998.80 | |
Cigna
| Facility | $22.03 | $32.53 | $81.31 | |
Cigna
| Professional | $31.39 | $39.24 | $130.66 | |
United
| Professional | $11.39 | $12.20 | $36.60 |