| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.70 | $128.83 | $144.71 | |
CareSource
| Professional | $130.94 | $130.94 | $130.94 | |
Cigna
| Professional | $113.90 | $172.69 | $672.05 | |
United
| Professional | $92.26 | $140.04 | $218.42 |