| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $353.36 | $811.33 | $1,595.66 | |
CareSource
| Professional | $431.53 | $431.53 | $431.53 | |
Cigna
| Professional | $431.53 | $1,492.94 | $4,976.21 | |
United
| Professional | $1,095.85 | $2,404.90 | $5,642.28 |