| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.87 | $78.86 | $148.90 | |
Aetna
| Professional | 52 | $33.50 | $34.61 | $68.02 |
CareSource
| Professional | $65.02 | $97.53 | $154.99 | |
Cigna
| Professional | $68.23 | $108.98 | $250.72 | |
United
| Professional | $53.03 | $92.81 | $163.18 |