| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.99 | $42.99 | $42.99 |
Aetna
| Professional | $56.07 | $62.79 | $81.28 | |
Aetna
| Professional | 26 | $38.90 | $42.74 | $55.45 |
CareSource
| Professional | $20.59 | $20.59 | $20.59 | |
Cigna
| Facility | 26 | $50.53 | $50.53 | $50.53 |
Cigna
| Professional | $58.62 | $78.29 | $231.64 | |
Cigna
| Professional | 26 | $40.06 | $54.51 | $163.66 |
United
| Professional | $48.46 | $73.51 | $106.59 | |
United
| Professional | 26 | $35.49 | $52.95 | $75.81 |