| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.19 | $413.03 | $413.03 | |
Aetna
| Professional | $206.51 | $206.51 | $220.28 | |
CareSource
| Facility | $371.72 | $1,548.85 | $7,434.46 | |
CareSource
| Professional | $330.42 | $371.72 | $119,998.80 | |
Cigna
| Facility | $223.73 | $330.42 | $825.99 | |
Cigna
| Professional | $1,327.19 | $1,327.19 | $1,327.19 | |
United
| Professional | $115.65 | $137.68 | $399.26 |