| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.71 | $23.96 | $26.63 | |
CareSource
| Professional | $22.25 | $35.99 | $50.66 | |
Cigna
| Professional | $24.03 | $145.05 | $145.05 | |
United
| Professional | $17.23 | $25.67 | $46.91 |