| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.69 | $41.69 | $41.69 |
Aetna
| Professional | $75.86 | $109.65 | $169.82 | |
CareSource
| Professional | $48.98 | $48.98 | $48.98 | |
Cigna
| Facility | 26 | $10.47 | $48.98 | $70.79 |
Cigna
| Professional | $83.18 | $194.98 | $977.24 | |
United
| Professional | $93.33 | $169.82 | $331.13 |