| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.26 | $58.26 | $58.26 |
Aetna
| Professional | $107.81 | $113.88 | $143.54 | |
CareSource
| Professional | $56.40 | $56.40 | $56.40 | |
Cigna
| Facility | 26 | $63.06 | $63.06 | $63.06 |
Cigna
| Professional | $84.24 | $138.88 | $769.37 | |
United
| Professional | $89.19 | $116.83 | $325.64 |