| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $85.11 | $85.11 |
Aetna
| Professional | $218.78 | $309.03 | $645.65 | |
CareSource
| Professional | $77.62 | $181.97 | $416.87 | |
Cigna
| Facility | 26 | $19.05 | $89.13 | $128.82 |
Cigna
| Professional | $204.17 | $338.84 | $1,202.26 | |
United
| Professional | $154.88 | $229.09 | $457.09 |