| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.76 | $5,590.71 | $5,594.88 | |
Aetna
| Professional | $7.95 | $8.02 | $10.91 | |
CareSource
| Facility | $7.95 | $11.93 | $11.93 | |
Cigna
| Facility | $7.50 | $7.95 | $85.00 | |
Cigna
| Professional | $7.95 | $7.95 | $16.64 | |
United
| Professional | $7.95 | $7.95 | $34.24 |