| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.72 | $107.15 | $107.15 |
Aetna
| Professional | $288.40 | $363.08 | $575.44 | |
CareSource
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Facility | 26 | $24.55 | $114.82 | $162.18 |
Cigna
| Professional | $295.12 | $549.54 | $1,584.89 | |
United
| Professional | $302.00 | $645.65 | $1,412.54 |