| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.70 | $29.51 | $29.51 |
Aetna
| Professional | $60.26 | $89.13 | $275.42 | |
CareSource
| Professional | $27.54 | $60.26 | $100.00 | |
Cigna
| Facility | 26 | $6.76 | $31.62 | $44.67 |
Cigna
| Professional | $56.23 | $97.72 | $426.58 | |
United
| Professional | $57.54 | $81.28 | $151.36 |