| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.07 | $28.07 | $28.07 |
Aetna
| Professional | $138.94 | $172.56 | $198.51 | |
CareSource
| Professional | $28.91 | $30.54 | $149.46 | |
Cigna
| Facility | 26 | $31.43 | $31.43 | $31.43 |
Cigna
| Professional | $84.63 | $154.91 | $458.88 | |
United
| Professional | $78.48 | $106.81 | $210.53 |