| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.29 | $202.82 | $267.11 | |
CareSource
| Professional | $136.08 | $136.08 | $136.08 | |
Cigna
| Professional | $136.08 | $269.81 | $578.45 | |
United
| Professional | $177.52 | $256.08 | $401.26 |