| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.59 | $23.59 | $23.59 |
Aetna
| Professional | $46.14 | $56.00 | $60.68 | |
CareSource
| Professional | $24.59 | $25.97 | $59.28 | |
Cigna
| Facility | 26 | $28.43 | $28.43 | $28.43 |
Cigna
| Professional | $49.55 | $78.28 | $158.97 | |
United
| Professional | $42.05 | $59.19 | $114.51 |