| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $141.25 | $194.98 | |
CareSource
| Professional | $100.00 | $107.15 | $151.36 | |
Cigna
| Professional | $109.65 | $173.78 | $602.56 | |
United
| Professional | $104.71 | $147.91 | $275.42 |