| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.43 | $77.43 | $77.43 |
Aetna
| Professional | $283.31 | $400.00 | $494.18 | |
CareSource
| Professional | $85.46 | $85.46 | $85.46 | |
Cigna
| Facility | 26 | $86.80 | $86.80 | $86.80 |
Cigna
| Professional | $275.10 | $607.95 | $1,825.39 | |
United
| Professional | $241.77 | $549.95 | $994.76 |