| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.56 | $78.56 | $78.56 |
Aetna
| Professional | $260.81 | $400.00 | $475.60 | |
CareSource
| Professional | $86.24 | $86.24 | $86.24 | |
Cigna
| Facility | 26 | $87.60 | $87.60 | $87.60 |
Cigna
| Professional | $271.50 | $589.67 | $2,455.03 | |
United
| Professional | $239.49 | $590.11 | $1,107.72 |