| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.02 | $196.02 | $1,400.00 | |
Aetna
| Professional | $184.64 | $217.53 | $245.20 | |
CareSource
| Facility | $169.32 | $230.90 | $281.83 | |
CareSource
| Professional | $184.72 | $250.52 | $72,899.27 | |
Cigna
| Facility | $247.00 | $247.00 | $247.00 | |
Cigna
| Professional | $213.43 | $294.75 | $1,035.24 | |
United
| Professional | $129.54 | $215.53 | $362.14 |