| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.50 | $44.46 | $106.16 | |
CareSource
| Professional | $17.78 | $17.78 | $41.23 | |
Cigna
| Professional | $17.07 | $74.91 | $137.05 | |
United
| Professional | $60.20 | $93.24 | $131.75 |