| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.95 | $210.94 | $313.77 | |
CareSource
| Professional | $102.90 | $102.90 | $102.90 | |
Cigna
| Professional | $102.90 | $295.89 | $706.49 | |
United
| Professional | $218.08 | $367.05 | $531.57 |