| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $123.69 | $123.69 | $123.69 |
Aetna
| Professional | $280.62 | $280.62 | $339.94 | |
CareSource
| Professional | $134.21 | $134.21 | $134.21 | |
Cigna
| Facility | 26 | $135.43 | $135.43 | $135.43 |
Cigna
| Professional | $404.26 | $841.56 | $1,430.99 | |
United
| Professional | $289.24 | $645.94 | $1,059.98 |