| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $107.15 | $158.49 | |
Cigna
| Professional | $97.72 | $138.04 | $181.97 | |
Medica
| Professional | $107.15 | $138.04 | $933.25 | |
United
| Professional | $81.28 | $109.65 | $147.91 |