| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.41 | $367.79 | $454.00 | |
CareSource
| Professional | $437.37 | $676.04 | $676.04 | |
Cigna
| Professional | $310.38 | $310.38 | $1,626.12 | |
United
| Professional | $268.25 | $556.19 | $1,151.89 |