| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.11 | $14.11 | $14.11 |
Aetna
| Professional | $44.81 | $48.66 | $66.98 | |
CareSource
| Professional | $15.90 | $15.90 | $15.90 | |
Cigna
| Facility | 26 | $15.90 | $15.90 | $15.90 |
Cigna
| Professional | $47.35 | $60.83 | $146.97 | |
United
| Professional | $38.13 | $54.81 | $87.79 |