| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $102.33 | $138.04 | |
CareSource
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $100.00 | $234.42 | $478.63 | |
United
| Professional | $69.18 | $102.33 | $147.91 |