| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.36 | $5.36 | $6.10 | |
CareSource
| Professional | $43,874.56 | $43,874.56 | $60,749.39 | |
Cigna
| Facility | $3.71 | $9.52 | $52.88 | |
Cigna
| Professional | $2,995.49 | $2,995.49 | $3,744.36 |