| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.94 | $105.18 | $127.88 | |
CareSource
| Professional | $105.10 | $105.10 | $105.10 | |
Cigna
| Professional | $87.94 | $122.62 | $326.97 | |
United
| Professional | $94.58 | $140.69 | $196.98 |