| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.13 | $78.13 | $78.13 |
Aetna
| Professional | $266.14 | $400.00 | $522.50 | |
CareSource
| Professional | $86.24 | $86.24 | $86.24 | |
Cigna
| Facility | 26 | $87.60 | $87.60 | $87.60 |
Cigna
| Professional | $275.85 | $588.58 | $2,456.87 | |
United
| Professional | $243.26 | $590.11 | $1,107.72 |