| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.69 | $41.69 | $41.69 |
Aetna
| Professional | $52.48 | $61.66 | $72.44 | |
Aetna
| Professional | 26 | $38.02 | $42.66 | $52.48 |
CareSource
| Professional | $20.42 | $20.42 | $20.42 | |
Cigna
| Facility | 26 | $10.72 | $50.12 | $72.44 |
Cigna
| Professional | $60.26 | $93.33 | $302.00 | |
Cigna
| Professional | 26 | $41.69 | $69.18 | $208.93 |
United
| Professional | $51.29 | $72.44 | $102.33 | |
United
| Professional | 26 | $35.48 | $51.29 | $74.13 |