| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.73 | $52.73 | $52.73 |
Aetna
| Professional | $112.32 | $113.99 | $204.88 | |
CareSource
| Professional | $61.16 | $61.16 | $61.16 | |
Cigna
| Facility | 26 | $60.76 | $60.76 | $60.76 |
Cigna
| Professional | $97.30 | $269.70 | $2,251.19 | |
United
| Professional | $108.72 | $283.88 | $767.02 |