| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.70 | $25.70 | $25.70 |
Aetna
| Professional | $107.15 | $151.36 | $186.21 | |
CareSource
| Professional | $29.51 | $29.51 | $29.51 | |
Cigna
| Facility | 26 | $6.31 | $29.51 | $42.66 |
Cigna
| Professional | $109.65 | $263.03 | $660.69 | |
United
| Professional | $75.86 | $114.82 | $190.55 |