| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.61 | $198.53 | $260.13 | |
CareSource
| Professional | $148.90 | $148.90 | $148.90 | |
Cigna
| Professional | $148.90 | $260.99 | $631.41 | |
United
| Professional | $167.24 | $242.01 | $381.13 |