| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.53 | $18.53 | $18.53 |
Aetna
| Professional | $60.81 | $64.90 | $88.16 | |
CareSource
| Professional | $20.58 | $20.58 | $20.58 | |
Cigna
| Facility | 26 | $20.92 | $20.92 | $20.92 |
Cigna
| Professional | $62.99 | $82.44 | $203.39 | |
United
| Professional | $52.22 | $74.80 | $117.29 |