| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.34 | $149.72 | $239.00 | |
CareSource
| Professional | $88.62 | $128.08 | $128.08 | |
Cigna
| Professional | $114.12 | $172.91 | $427.66 | |
United
| Professional | $111.62 | $162.86 | $230.54 |