| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.28 | $126.04 | $208.34 | |
CareSource
| Professional | $95.59 | $102.89 | $176.24 | |
Cigna
| Professional | $99.26 | $187.74 | $376.42 | |
United
| Professional | $120.85 | $186.19 | $322.29 |