| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.98 | $18.98 | $18.98 |
Aetna
| Professional | $76.73 | $84.40 | $90.42 | |
CareSource
| Professional | $21.76 | $69.03 | $160.05 | |
Cigna
| Facility | 26 | $22.16 | $22.16 | $22.16 |
Cigna
| Professional | $46.93 | $82.83 | $275.23 | |
United
| Professional | $32.89 | $65.20 | $100.54 |