| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.81 | $149.80 | $190.28 | |
CareSource
| Professional | $165.37 | $165.37 | $165.37 | |
Cigna
| Professional | $152.44 | $215.23 | $693.79 | |
United
| Professional | $126.80 | $183.14 | $286.98 |