| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $58.88 | $77.62 | |
CareSource
| Professional | $63.10 | $125.89 | $125.89 | |
Cigna
| Professional | $56.23 | $89.13 | $295.12 | |
United
| Professional | $30.20 | $87.10 | $177.83 |