| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $3.73 | $3.73 | $3.73 |
Aetna
| Professional | $38.59 | $44.56 | $59.71 | |
CareSource
| Professional | $4.24 | $4.24 | $4.24 | |
Cigna
| Facility | 26 | $4.21 | $4.21 | $4.21 |
Cigna
| Professional | $45.22 | $60.64 | $123.05 | |
United
| Professional | $35.90 | $54.26 | $105.18 |