| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.46 | $44.46 | $44.46 |
Aetna
| Professional | $328.40 | $354.91 | $376.19 | |
CareSource
| Professional | $51.16 | $51.16 | $51.16 | |
Cigna
| Facility | 26 | $51.82 | $51.82 | $51.82 |
Cigna
| Professional | $284.50 | $543.11 | $1,649.55 | |
United
| Professional | $302.51 | $481.19 | $835.50 |