| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.13 | $209.28 | $266.98 | |
CareSource
| Professional | $157.58 | $157.58 | $157.58 | |
Cigna
| Professional | $157.58 | $271.72 | $678.22 | |
United
| Professional | $170.86 | $249.23 | $371.16 |