| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.91 | $113.70 | $119.62 | |
CareSource
| Professional | $122.74 | $122.74 | $122.74 | |
Cigna
| Professional | $103.12 | $126.69 | $550.35 | |
United
| Professional | $72.31 | $105.82 | $145.32 |