| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.42 | $7.42 | $7.42 | |
Aetna
| Professional | $7.42 | $9.42 | $9.42 | |
CareSource
| Facility | $26.96 | $122.88 | $252.80 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 | |
Cigna
| Facility | $9.69 | $9.69 | $9.69 | |
Cigna
| Professional | $40.54 | $40.54 | $40.54 | |
United
| Professional | $4.65 | $10.58 | $18.23 |