| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.06 | $23.06 | $23.06 |
Aetna
| Professional | $123.85 | $133.41 | $166.25 | |
CareSource
| Professional | $27.37 | $27.37 | $27.37 | |
Cigna
| Facility | 26 | $27.06 | $27.06 | $27.06 |
Cigna
| Professional | $73.69 | $160.18 | $623.66 | |
United
| Professional | $63.01 | $106.95 | $250.97 |