| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $6.48 | |
CareSource
| Facility | $44,999.55 | $44,999.55 | $59,999.40 | |
CareSource
| Professional | $35,999.64 | $35,999.64 | $41,999.58 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $7.89 | $8.16 | $8.16 |