| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $90.88 | $99.96 | $99.96 |
Aetna
| Professional | $151.34 | $163.25 | $179.57 | |
CareSource
| Professional | $67.31 | $146.84 | $340.46 | |
Cigna
| Facility | 26 | $102.91 | $102.91 | $102.91 |
Cigna
| Professional | $153.27 | $220.26 | $522.66 | |
United
| Professional | $125.13 | $165.22 | $251.79 |