| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.28 | $71.62 | $113.77 | |
CareSource
| Professional | $44.81 | $55.99 | $55.99 | |
Cigna
| Professional | $52.19 | $87.45 | $196.03 | |
United
| Professional | $57.70 | $91.38 | $122.74 |