| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.58 | $102.58 | $1,200.00 | |
Aetna
| Professional | $27.14 | $85.68 | $157.22 | |
CareSource
| Facility | $31.81 | $38.56 | $53.08 | |
CareSource
| Professional | $34.27 | $34.27 | $34.27 | |
Cigna
| Facility | $51.00 | $51.00 | $51.00 | |
Cigna
| Professional | $32.82 | $109.45 | $240.63 | |
United
| Professional | $92.32 | $154.75 | $236.19 |