| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $208.93 | $263.03 | |
CareSource
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Professional | $141.25 | $229.09 | $1,071.52 | |
United
| Professional | $114.82 | $194.98 | $346.74 |