| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.96 | $353.60 | $424.32 | |
Aetna
| Professional | $212.16 | $231.96 | $240.45 | |
CareSource
| Facility | $381.89 | $1,591.20 | $7,637.76 | |
CareSource
| Professional | $339.46 | $381.89 | $119,998.80 | |
Cigna
| Facility | $229.84 | $339.46 | $848.56 | |
Cigna
| Professional | $1,363.48 | $1,363.48 | $1,363.48 | |
United
| Professional | $118.81 | $141.44 | $410.18 |