| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $57.54 | $114.82 | |
CareSource
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $43.65 | $72.44 | $363.08 | |
United
| Professional | $38.90 | $60.26 | $100.00 |