| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.99 | $131.68 | $159.90 | |
CareSource
| Professional | $131.75 | $131.75 | $131.75 | |
Cigna
| Professional | $114.18 | $187.79 | $542.59 | |
United
| Professional | $111.83 | $155.86 | $254.60 |