| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $48.87 | $140.62 | |
CareSource
| Professional | $24.30 | $44.53 | $47.80 | |
Cigna
| Professional | $19.09 | $20.62 | $107.58 | |
United
| Professional | $12.05 | $28.65 | $51.45 |