| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.61 | $22.61 | $22.61 |
Aetna
| Professional | $170.91 | $208.47 | $226.33 | |
CareSource
| Professional | $25.26 | $25.26 | $25.26 | |
Cigna
| Facility | 26 | $25.57 | $25.57 | $25.57 |
Cigna
| Professional | $160.35 | $264.11 | $1,038.36 | |
United
| Professional | $93.95 | $174.10 | $334.70 |