| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.13 | $100.27 | $117.11 | |
CareSource
| Professional | $113.08 | $113.08 | $113.08 | |
Cigna
| Professional | $80.09 | $116.36 | $426.85 | |
United
| Professional | $72.79 | $105.48 | $151.87 |