| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $23.44 | $93.33 | |
CareSource
| Facility | $36,307.81 | $66,069.34 | $66,069.34 | |
CareSource
| Professional | $64,565.42 | $72,443.60 | $81,283.05 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 |