| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $419.77 | $461.74 | $461.74 |
Aetna
| Professional | $1,305.33 | $1,383.53 | $1,590.93 | |
CareSource
| Professional | $472.10 | $472.10 | $472.10 | |
Cigna
| Facility | 26 | $462.14 | $462.14 | $462.14 |
Cigna
| Professional | $1,272.93 | $2,017.32 | $6,116.34 | |
United
| Professional | $1,063.65 | $1,776.85 | $2,975.25 |