| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.56 | $52.56 | $52.56 |
Aetna
| Professional | $111.16 | $136.11 | $230.92 | |
CareSource
| Professional | $61.34 | $61.34 | $61.34 | |
Cigna
| Facility | 26 | $61.14 | $61.14 | $61.14 |
Cigna
| Professional | $95.72 | $271.70 | $2,245.69 | |
United
| Professional | $109.78 | $266.33 | $716.62 |