| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $87.10 | $128.82 | |
CareSource
| Professional | $186.21 | $186.21 | $194.98 | |
Cigna
| Professional | $91.20 | $123.03 | $489.78 | |
United
| Professional | $45.71 | $87.10 | $162.18 |