| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.75 | $107.75 | $107.75 |
Aetna
| Professional | $366.17 | $405.82 | $429.66 | |
CareSource
| Professional | $118.37 | $125.06 | $380.23 | |
Cigna
| Facility | 26 | $127.80 | $127.80 | $127.80 |
Cigna
| Professional | $304.60 | $401.71 | $1,651.94 | |
United
| Professional | $224.11 | $344.42 | $526.26 |