| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.27 | $47.27 | $47.27 |
Aetna
| Professional | $368.28 | $403.52 | $423.17 | |
CareSource
| Professional | $54.70 | $54.70 | $54.70 | |
Cigna
| Facility | 26 | $55.81 | $55.81 | $55.81 |
Cigna
| Professional | $323.52 | $644.34 | $1,855.31 | |
United
| Professional | $348.81 | $541.04 | $992.43 |