| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.10 | $181.87 | $320.58 | |
CareSource
| Professional | $44.06 | $88.42 | $163.26 | |
Cigna
| Professional | $163.26 | $253.54 | $657.75 | |
United
| Professional | $142.13 | $233.36 | $448.42 |