| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.28 | $242.54 | $381.39 | |
CareSource
| Professional | $139.60 | $176.50 | $176.50 | |
Cigna
| Professional | $163.77 | $271.86 | $674.28 | |
United
| Professional | $191.91 | $279.33 | $396.61 |