| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.06 | $115.51 | $184.98 | |
CareSource
| Professional | $71.70 | $99.53 | $99.53 | |
Cigna
| Professional | $88.25 | $139.68 | $334.21 | |
United
| Professional | $92.76 | $137.59 | $190.70 |