| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.88 | $24.55 | $24.55 |
Aetna
| Professional | $67.61 | $79.43 | $123.03 | |
CareSource
| Professional | $25.70 | $25.70 | $25.70 | |
Cigna
| Facility | 26 | $5.62 | $25.70 | $37.15 |
Cigna
| Professional | $58.88 | $109.65 | $380.19 | |
United
| Professional | $51.29 | $83.18 | $181.97 |