| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.92 | $80.45 | $93.49 | |
CareSource
| Professional | $56.14 | $56.14 | $56.14 | |
Cigna
| Professional | $56.13 | $104.34 | $226.06 | |
United
| Professional | $65.98 | $90.72 | $160.81 |