| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.31 | $168.27 | $226.06 | |
CareSource
| Professional | $103.16 | $169.55 | $169.55 | |
Cigna
| Professional | $152.97 | $217.02 | $482.97 | |
United
| Professional | $129.22 | $190.92 | $268.00 |