| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.93 | $216.20 | $326.14 | |
CareSource
| Professional | $125.86 | $180.32 | $180.32 | |
Cigna
| Professional | $167.57 | $245.24 | $587.70 | |
United
| Professional | $163.07 | $228.64 | $326.98 |