| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $47.86 | $77.62 | |
CareSource
| Professional | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $40.74 | $70.79 | $257.04 | |
United
| Professional | $36.31 | $53.70 | $107.15 |