| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.55 | $224.68 | $258.76 | |
CareSource
| Professional | $280.26 | $433.20 | $433.20 | |
Cigna
| Professional | $199.09 | $199.09 | $1,043.05 | |
United
| Professional | $101.70 | $202.77 | $396.15 |