| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $349.80 | $492.33 | $765.98 | |
CareSource
| Professional | $297.52 | $419.80 | $419.80 | |
Cigna
| Professional | $374.77 | $580.05 | $1,373.52 | |
United
| Professional | $388.73 | $594.88 | $777.45 |