| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.75 | $49.78 | $110.47 | |
CareSource
| Professional | $31.27 | $39.54 | $39.54 | |
Cigna
| Professional | $37.15 | $62.78 | $131.87 | |
United
| Professional | $39.90 | $59.36 | $81.56 |