| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.51 | $24.76 | $24.76 |
Aetna
| Professional | $74.42 | $79.30 | $108.66 | |
CareSource
| Professional | $25.82 | $25.82 | $25.82 | |
Cigna
| Facility | 26 | $25.82 | $25.82 | $25.82 |
Cigna
| Professional | $63.23 | $105.69 | $378.85 | |
United
| Professional | $51.49 | $82.48 | $193.83 |