| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.19 | $256.75 | $390.75 | |
CareSource
| Professional | $150.35 | $197.36 | $197.36 | |
Cigna
| Professional | $180.13 | $293.06 | $721.35 | |
United
| Professional | $196.20 | $274.07 | $407.91 |