| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $141.25 | $208.93 | |
CareSource
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $107.15 | $186.21 | $812.83 | |
United
| Professional | $104.71 | $144.54 | $229.09 |