| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.01 | $106.71 | $106.71 |
Aetna
| Professional | $165.44 | $229.49 | $244.82 | |
CareSource
| Professional | $57.95 | $113.03 | $258.85 | |
Cigna
| Facility | 26 | $113.41 | $113.41 | $113.41 |
Cigna
| Professional | $193.71 | $306.54 | $556.52 | |
United
| Professional | $155.26 | $205.50 | $364.64 |