| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $317.11 | $407.21 | $494.22 | |
CareSource
| Professional | $395.06 | $395.06 | $395.06 | |
Cigna
| Professional | $334.18 | $471.88 | $1,699.44 | |
United
| Professional | $360.60 | $518.36 | $726.45 |