| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.20 | $64.75 | $97.29 | |
CareSource
| Professional | $65.48 | $65.48 | $74.18 | |
Cigna
| Professional | $52.55 | $74.18 | $243.64 | |
United
| Professional | $76.62 | $114.63 | $156.22 |