| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $77.62 | $1,000.00 | |
CareSource
| Professional | $109.65 | $123.03 | $123.03 | |
Cigna
| Professional | $57.54 | $281.84 | $281.84 | |
United
| Professional | $53.70 | $77.62 | $112.20 |