| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.09 | $279.64 | $1,618.05 | |
CareSource
| Professional | $209.74 | $209.74 | $209.74 | |
Cigna
| Professional | $244.69 | $829.43 | $2,983.67 | |
United
| Professional | $1,021.74 | $1,562.41 | $2,849.10 |