| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $369.92 | $455.78 | $553.50 | |
CareSource
| Professional | $455.48 | $455.48 | $455.48 | |
Cigna
| Professional | $385.76 | $541.51 | $1,370.93 | |
United
| Professional | $408.25 | $608.86 | $879.32 |