| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.89 | $63.78 | $75.00 | |
CareSource
| Professional | $65.70 | $109.59 | $160.13 | |
Cigna
| Professional | $97.36 | $105.26 | $364.83 | |
United
| Professional | $32.31 | $57.11 | $105.12 |