| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.41 | $183.41 | $236.51 | |
CareSource
| Professional | $201.86 | $201.86 | $201.86 | |
Cigna
| Professional | $182.68 | $254.53 | $903.41 | |
United
| Professional | $143.60 | $235.08 | $330.07 |