| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.63 | $26.63 | $26.63 |
Aetna
| Professional | $123.35 | $131.99 | $139.34 | |
CareSource
| Professional | $30.72 | $30.72 | $30.72 | |
Cigna
| Facility | 26 | $30.72 | $30.72 | $30.72 |
Cigna
| Professional | $95.82 | $161.08 | $612.72 | |
United
| Professional | $83.21 | $127.92 | $238.90 |