| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.13 | $156.63 | $271.24 | |
CareSource
| Professional | $99.91 | $99.91 | $99.91 | |
Cigna
| Professional | $108.23 | $219.81 | $455.18 | |
United
| Professional | $180.16 | $250.14 | $492.16 |