| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.20 | $306.48 | $362.15 | |
CareSource
| Professional | $307.16 | $307.16 | $307.16 | |
Cigna
| Professional | $255.97 | $358.36 | $921.21 | |
United
| Professional | $275.67 | $396.28 | $565.16 |