| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.88 | $216.29 | $259.55 | |
Aetna
| Professional | $129.77 | $141.88 | $141.88 | |
CareSource
| Facility | $233.59 | $973.30 | $4,671.82 | |
CareSource
| Professional | $207.64 | $233.59 | $119,998.80 | |
Cigna
| Facility | $140.59 | $207.64 | $519.04 | |
Cigna
| Professional | $199.07 | $248.83 | $834.00 | |
United
| Professional | $72.67 | $77.86 | $233.59 |