| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.85 | $0.93 | $618.73 | |
Aetna
| Professional | $0.83 | $0.85 | $0.85 | |
CareSource
| Facility | $44,999.55 | $44,999.55 | $44,999.55 | |
Cigna
| Facility | $0.85 | $0.85 | $0.85 | |
Cigna
| Professional | $0.85 | $0.85 | $1.27 |