| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.85 | $145.53 | $222.40 | |
CareSource
| Professional | $103.87 | $154.37 | $249.88 | |
Cigna
| Professional | $117.26 | $152.97 | $320.26 | |
United
| Professional | $99.62 | $164.66 | $324.66 |