| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $223.87 | $363.08 | |
CareSource
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $134.90 | $239.88 | $776.25 | |
United
| Professional | $109.65 | $181.97 | $302.00 |