| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.02 | $12.02 | $12.02 |
Aetna
| Professional | $46.77 | $52.48 | $70.79 | |
CareSource
| Professional | $14.13 | $14.13 | $14.13 | |
Cigna
| Facility | 26 | $3.02 | $14.13 | $20.42 |
Cigna
| Professional | $45.71 | $75.86 | $338.84 | |
United
| Professional | $42.66 | $63.10 | $117.49 |