| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.61 | $9.36 | $11.31 | |
CareSource
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
Cigna
| Facility | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $9.07 | $9.07 | $9.07 | |
United
| Professional | $6.13 | $7.11 | $14.72 |