| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.22 | $124.52 | $139.47 | |
CareSource
| Professional | $14.90 | $14.90 | $14.90 | |
Cigna
| Professional | $118.64 | $175.88 | $1,156.83 | |
United
| Professional | $98.15 | $153.47 | $224.07 |