| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.04 | $27.04 | $27.04 |
Aetna
| Professional | $120.27 | $126.06 | $132.27 | |
CareSource
| Professional | $30.54 | $30.54 | $30.54 | |
Cigna
| Facility | 26 | $31.07 | $31.07 | $31.07 |
Cigna
| Professional | $101.83 | $160.53 | $581.53 | |
United
| Professional | $81.11 | $128.54 | $234.03 |