| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.59 | $24.59 | $24.59 |
Aetna
| Professional | $55.84 | $56.95 | $65.98 | |
CareSource
| Professional | $28.38 | $28.38 | $28.38 | |
Cigna
| Facility | 26 | $28.28 | $28.28 | $28.28 |
Cigna
| Professional | $48.06 | $82.71 | $288.29 | |
United
| Professional | $49.09 | $78.43 | $132.65 |