| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.18 | $28.18 | $28.18 |
Aetna
| Professional | $67.61 | $97.72 | $158.49 | |
CareSource
| Professional | $26.30 | $64.57 | $134.90 | |
Cigna
| Facility | 26 | $6.92 | $32.36 | $45.71 |
Cigna
| Professional | $75.86 | $125.89 | $478.63 | |
United
| Professional | $53.70 | $83.18 | $138.04 |