| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $75.86 | $147.91 | |
CareSource
| Professional | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $64.57 | $117.49 | $645.65 | |
United
| Professional | $61.66 | $114.82 | $245.47 |