| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.16 | $199.94 | $239.93 | |
Aetna
| Professional | $119.96 | $131.16 | $131.16 | |
CareSource
| Facility | $215.93 | $899.72 | $4,318.66 | |
CareSource
| Professional | $191.94 | $215.93 | $119,998.80 | |
Cigna
| Facility | $129.96 | $191.94 | $479.82 | |
Cigna
| Professional | $183.79 | $229.73 | $770.96 | |
United
| Professional | $67.18 | $71.98 | $215.93 |