| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.62 | $624.00 | $2,500.00 | |
Aetna
| Professional | $10.49 | $22.96 | $48.47 | |
BCBS
| Professional | $32.15 | $32.15 | $58.36 | |
CareSource
| Professional | $42.55 | $42.55 | $42.55 | |
Cigna
| Facility | $155.53 | $155.53 | $155.53 | |
Cigna
| Professional | $10.26 | $24.78 | $47.67 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $22.75 | $42.42 | $70.81 |