| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.76 | $36.76 | $36.76 |
Aetna
| Professional | $79.12 | $89.47 | $115.31 | |
CareSource
| Professional | $22.11 | $42.84 | $94.88 | |
Cigna
| Facility | 26 | $43.40 | $43.40 | $43.40 |
Cigna
| Professional | $75.13 | $117.42 | $282.27 | |
United
| Professional | $75.18 | $98.68 | $186.82 |