| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.90 | $127.61 | $264.41 | |
CareSource
| Professional | $91.78 | $91.78 | $217.03 | |
Cigna
| Professional | $87.60 | $207.72 | $377.31 | |
United
| Professional | $141.11 | $216.37 | $331.49 |