| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.49 | $155.72 | $232.49 | |
CareSource
| Professional | $86.23 | $142.13 | $142.13 | |
Cigna
| Professional | $129.90 | $193.19 | $427.94 | |
United
| Professional | $118.54 | $169.94 | $237.08 |