| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $58.88 | $64.57 | |
CareSource
| Professional | $57.54 | $64.57 | $64.57 | |
Cigna
| Professional | $29.51 | $199.53 | $199.53 | |
United
| Professional | $27.54 | $52.48 | $91.20 |