| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.70 | $53.70 | $53.70 |
Aetna
| Professional | $104.71 | $218.78 | $309.03 | |
CareSource
| Professional | $52.48 | $100.00 | $165.96 | |
Cigna
| Facility | 26 | $13.49 | $63.10 | $91.20 |
Cigna
| Professional | $93.33 | $165.96 | $524.81 | |
United
| Professional | $95.50 | $114.82 | $234.42 |