| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.86 | $227.05 | $449.17 | |
CareSource
| Professional | $145.97 | $165.36 | $269.58 | |
Cigna
| Professional | $153.52 | $257.27 | $593.84 | |
United
| Professional | $164.28 | $233.95 | $379.74 |