| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.67 | $130.25 | $190.95 | |
CareSource
| Professional | $25.75 | $25.75 | $25.75 | |
Cigna
| Professional | $55.51 | $157.12 | $440.76 | |
United
| Professional | $96.41 | $160.96 | $216.84 |