| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.09 | $60.09 | $60.09 | |
Aetna
| Professional | $46.86 | $60.09 | $82.81 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 | |
Cigna
| Facility | $94.93 | $94.93 | $94.93 | |
Cigna
| Professional | $247.78 | $247.78 | $247.78 | |
United
| Professional | $33.38 | $52.89 | $95.61 |