| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $323.59 | $489.78 | |
CareSource
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Professional | $239.88 | $371.54 | $1,288.25 | |
United
| Professional | $199.53 | $323.59 | $549.54 |