| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.21 | $129.19 | $154.91 | |
CareSource
| Professional | $148.38 | $148.38 | $148.38 | |
Cigna
| Professional | $127.59 | $185.47 | $787.74 | |
United
| Professional | $103.86 | $158.53 | $237.56 |