| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.60 | $163.80 | $194.71 | |
CareSource
| Professional | $77.86 | $143.50 | $151.60 | |
Cigna
| Professional | $139.12 | $176.87 | $353.30 | |
United
| Professional | $126.33 | $202.13 | $370.20 |