| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.25 | $162.62 | $176.18 | |
CareSource
| Professional | $172.31 | $172.31 | $172.31 | |
Cigna
| Professional | $146.10 | $182.73 | $779.54 | |
United
| Professional | $132.01 | $185.45 | $278.95 |