| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.95 | $113.29 | $138.61 | |
CareSource
| Professional | $108.14 | $108.14 | $108.14 | |
Cigna
| Professional | $106.46 | $150.30 | $459.92 | |
United
| Professional | $95.46 | $150.77 | $205.30 |