| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $199.53 | $295.12 | |
CareSource
| Professional | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $120.23 | $223.87 | $758.58 | |
United
| Professional | $97.72 | $181.97 | $331.13 |