| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.08 | $77.81 | $139.22 | |
CareSource
| Professional | $106.01 | $119.32 | $119.32 | |
Cigna
| Professional | $57.20 | $72.04 | $279.08 | |
United
| Professional | $53.39 | $78.03 | $115.00 |