| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.82 | $246.90 | $386.01 | |
CareSource
| Professional | $141.59 | $182.00 | $182.00 | |
Cigna
| Professional | $168.63 | $276.02 | $680.19 | |
United
| Professional | $183.09 | $253.42 | $398.95 |