| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.98 | $51.98 | $51.98 |
Aetna
| Professional | $105.92 | $131.60 | $228.05 | |
CareSource
| Professional | $61.42 | $61.42 | $61.42 | |
Cigna
| Facility | 26 | $60.80 | $60.80 | $60.80 |
Cigna
| Professional | $92.05 | $266.87 | $2,247.52 | |
United
| Professional | $105.76 | $281.23 | $717.40 |