| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.65 | $161.66 | $187.53 | |
CareSource
| Professional | $135.97 | $135.97 | $135.97 | |
Cigna
| Professional | $135.97 | $210.59 | $569.04 | |
United
| Professional | $123.00 | $173.26 | $280.77 |