| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.85 | $120.91 | $165.37 | |
CareSource
| Professional | $58.55 | $108.20 | $114.31 | |
Cigna
| Professional | $105.19 | $130.22 | $254.57 | |
United
| Professional | $87.24 | $123.17 | $218.97 |