| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.04 | $755.89 | $1,167.43 | |
CareSource
| Professional | $419.79 | $673.42 | $673.42 | |
Cigna
| Professional | $614.52 | $900.79 | $2,084.31 | |
United
| Professional | $581.90 | $835.31 | $1,202.68 |