| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.32 | $50.32 | $326.64 | |
Aetna
| Professional | $40.46 | $41.02 | $50.32 | |
CareSource
| Facility | $72.00 | $318.75 | $675.00 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 | |
Cigna
| Facility | $59.65 | $59.65 | $59.65 | |
Cigna
| Professional | $255.70 | $255.70 | $255.70 | |
United
| Professional | $18.77 | $102.05 | $186.56 |