| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.69 | $54.32 | $74.06 | |
CareSource
| Professional | $55.02 | $55.02 | $55.02 | |
Cigna
| Professional | $55.02 | $84.13 | $226.06 | |
United
| Professional | $54.26 | $83.69 | $139.06 |