| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.29 | $167.47 | $259.57 | |
CareSource
| Professional | $119.69 | $126.56 | $220.83 | |
Cigna
| Professional | $112.52 | $212.41 | $517.62 | |
United
| Professional | $154.01 | $216.52 | $322.88 |