| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $117.49 | $177.83 | |
CareSource
| Professional | $123.03 | $123.03 | $123.03 | |
Cigna
| Professional | $100.00 | $138.04 | $588.84 | |
United
| Professional | $87.10 | $117.49 | $173.78 |