| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.53 | $103.41 | $106.59 | |
CareSource
| Facility | $361.94 | $1,602.36 | $3,167.02 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 | |
Cigna
| Facility | $117.06 | $117.06 | $117.06 | |
Cigna
| Professional | $475.54 | $475.54 | $475.54 | |
United
| Professional | $66.80 | $111.34 | $217.69 |