| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.16 | $115.84 | $145.59 | |
CareSource
| Professional | $62.53 | $62.53 | $121.78 | |
Cigna
| Professional | $100.96 | $131.91 | $270.70 | |
United
| Professional | $86.14 | $118.59 | $165.60 |