| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.78 | $59.94 | $84.95 | |
CareSource
| Professional | $116.21 | $179.62 | $179.62 | |
Cigna
| Professional | $92.96 | $108.45 | $470.08 | |
United
| Professional | $45.78 | $103.63 | $160.63 |