| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.75 | $238.03 | $289.89 | |
CareSource
| Professional | $153.01 | $153.01 | $153.01 | |
Cigna
| Professional | $153.01 | $306.27 | $670.66 | |
United
| Professional | $196.71 | $314.73 | $428.51 |