| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.17 | $73.88 | $73.88 |
Aetna
| Professional | $124.61 | $124.71 | $168.98 | |
CareSource
| Professional | $65.09 | $65.09 | $65.09 | |
Cigna
| Facility | 26 | $78.58 | $78.58 | $78.58 |
Cigna
| Professional | $107.96 | $176.40 | $620.53 | |
United
| Professional | $105.28 | $158.38 | $290.32 |