| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.77 | $75.17 | $20,260.57 | |
Aetna
| Professional | $45.31 | $45.77 | $50.34 | |
CareSource
| Facility | $45.31 | $47.80 | $67.97 | |
CareSource
| Professional | $105.05 | $105.05 | $105.05 | |
Cigna
| Facility | $42.75 | $45.31 | $89.05 | |
Cigna
| Professional | $45.31 | $45.31 | $85.04 | |
United
| Professional | $45.31 | $45.31 | $104.77 |