| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $54.95 | $81.28 | |
CareSource
| Professional | $64.57 | $72.44 | $72.44 | |
Cigna
| Professional | $33.88 | $190.55 | $190.55 | |
United
| Professional | $32.36 | $53.70 | $83.18 |