| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.71 | $35.74 | $61.46 | |
Aetna
| Professional | 52 | $16.86 | $17.87 | $20.12 |
CareSource
| Professional | $28.87 | $38.00 | $70.45 | |
Cigna
| Professional | $79.28 | $108.91 | $348.89 | |
United
| Professional | $25.62 | $46.19 | $115.40 |