| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $711.49 | $1,496.43 | $2,807.09 | |
CareSource
| Professional | $832.96 | $832.96 | $875.44 | |
Cigna
| Professional | $774.43 | $1,706.25 | $3,960.64 | |
United
| Professional | $1,184.79 | $1,622.49 | $2,685.52 |