| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.97 | $588.84 | $1,584.89 | |
CareSource
| Professional | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $173.78 | $1,096.48 | $5,495.41 | |
United
| Professional | $158.49 | $831.76 | $2,398.83 |