| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $141.25 | $186.21 | |
CareSource
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $100.00 | $151.36 | $741.31 | |
United
| Professional | $81.28 | $128.82 | $218.78 |