| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $125.89 | $181.97 | |
CareSource
| Professional | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $117.49 | $169.82 | $660.69 | |
United
| Professional | $95.50 | $134.90 | $218.78 |