| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.64 | $200.56 | $240.11 | |
CareSource
| Professional | $151.50 | $151.50 | $151.50 | |
Cigna
| Professional | $127.04 | $217.89 | $602.99 | |
United
| Professional | $180.94 | $268.02 | $366.06 |