| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.02 | $133.91 | $144.65 | |
CareSource
| Professional | $59.71 | $63.08 | $120.45 | |
Cigna
| Professional | $97.60 | $131.52 | $458.36 | |
United
| Professional | $83.60 | $123.43 | $172.80 |