| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.31 | $36.31 | $36.31 |
Aetna
| Professional | $58.88 | $87.10 | $190.55 | |
CareSource
| Professional | $29.51 | $29.51 | $29.51 | |
Cigna
| Facility | 26 | $9.33 | $43.65 | $61.66 |
Cigna
| Professional | $54.95 | $169.82 | $724.44 | |
United
| Professional | $74.13 | $134.90 | $251.19 |