| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.96 | $121.74 | $165.63 | |
CareSource
| Professional | $21.11 | $47.20 | $94.30 | |
Cigna
| Professional | $119.43 | $185.68 | $527.91 | |
United
| Professional | $102.02 | $185.59 | $438.77 |