| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.71 | $101.72 | $167.97 | |
CareSource
| Professional | $73.14 | $73.14 | $73.14 | |
Cigna
| Professional | $65.84 | $155.80 | $346.38 | |
United
| Professional | $112.50 | $170.75 | $287.33 |