| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.11 | $376.69 | $452.03 | |
Aetna
| Professional | $226.01 | $247.11 | $256.14 | |
CareSource
| Facility | $406.82 | $1,695.10 | $8,136.46 | |
CareSource
| Professional | $361.62 | $406.82 | $119,998.80 | |
Cigna
| Facility | $244.85 | $361.62 | $903.99 | |
Cigna
| Professional | $1,452.51 | $1,452.51 | $1,452.51 | |
United
| Professional | $126.57 | $150.68 | $482.16 |