| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.34 | $51.34 | $51.34 |
Aetna
| Professional | $128.97 | $136.04 | $256.43 | |
CareSource
| Professional | $58.76 | $58.76 | $58.76 | |
Cigna
| Facility | 26 | $59.33 | $59.33 | $59.33 |
Cigna
| Professional | $115.13 | $310.47 | $2,247.52 | |
United
| Professional | $124.99 | $291.42 | $766.04 |