| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.41 | $124.99 | $762.46 | |
CareSource
| Professional | $93.74 | $93.74 | $93.74 | |
Cigna
| Professional | $93.75 | $378.85 | $1,956.43 | |
United
| Professional | $530.74 | $817.88 | $1,207.33 |