| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.82 | $80.51 | $96.62 | |
Aetna
| Professional | $48.31 | $52.17 | $52.82 | |
CareSource
| Facility | $86.95 | $362.31 | $1,739.08 | |
CareSource
| Professional | $77.29 | $86.95 | $119,998.80 | |
Cigna
| Facility | $52.34 | $77.29 | $193.23 | |
Cigna
| Professional | $73.93 | $92.41 | $310.45 | |
United
| Facility | $27.05 | $27.05 | $27.05 | |
United
| Professional | $27.05 | $32.21 | $86.95 |