| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.61 | $325.63 | $390.75 | |
Aetna
| Professional | $195.38 | $213.61 | $221.43 | |
CareSource
| Facility | $351.68 | $1,465.31 | $7,033.50 | |
CareSource
| Professional | $312.60 | $351.68 | $119,998.80 | |
Cigna
| Facility | $211.66 | $312.60 | $781.46 | |
Cigna
| Professional | $1,255.60 | $1,255.60 | $1,255.60 | |
United
| Professional | $109.41 | $130.25 | $377.73 |