| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.43 | $229.75 | $274.64 | |
CareSource
| Professional | $212.35 | $212.35 | $212.35 | |
Cigna
| Professional | $191.01 | $295.20 | $715.94 | |
United
| Professional | $224.58 | $322.83 | $416.53 |