| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.03 | $246.02 | $293.31 | |
CareSource
| Professional | $227.76 | $227.76 | $227.76 | |
Cigna
| Professional | $190.34 | $279.04 | $721.46 | |
United
| Professional | $216.58 | $322.17 | $431.18 |