| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.00 | $826.50 | $826.50 | |
CareSource
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $54.28 | $54.28 | $54.28 |