| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.26 | $690.00 | $2,493.00 | |
Aetna
| Professional | $14.83 | $29.26 | $44.51 | |
BCBS
| Professional | $25.18 | $37.03 | $52.71 | |
CareSource
| Professional | $37.54 | $37.54 | $37.54 | |
Cigna
| Professional | $22.82 | $36.19 | $57.89 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $30.67 | $42.95 | $75.11 |