| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.32 | $1.32 | $1.32 | |
Aetna
| Professional | $1.29 | $1.32 | $1.32 | |
CareSource
| Facility | $44,999.55 | $44,999.55 | $44,999.55 | |
Cigna
| Facility | $1.32 | $1.32 | $1.32 | |
Cigna
| Professional | $1.32 | $1.32 | $1.97 |