| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.57 | $134.44 | $211.76 | |
CareSource
| Professional | $82.05 | $120.72 | $120.72 | |
Cigna
| Professional | $109.33 | $161.57 | $387.83 | |
United
| Professional | $105.29 | $155.69 | $220.80 |