| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.49 | $344.43 | $449.90 | |
CareSource
| Professional | $209.30 | $300.60 | $300.60 | |
Cigna
| Professional | $281.36 | $411.45 | $1,065.59 | |
United
| Professional | $292.14 | $434.56 | $590.34 |