| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $234.24 | $234.24 | $234.24 |
Aetna
| Professional | $266.20 | $267.73 | $296.41 | |
CareSource
| Professional | $23.90 | $133.62 | $246.66 | |
Cigna
| Facility | 26 | $265.56 | $265.56 | $265.56 |
Cigna
| Professional | $258.62 | $412.61 | $910.07 | |
United
| Professional | $220.99 | $337.75 | $571.50 |