| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.27 | $163.51 | $166.35 | |
Cigna
| Professional | $101.28 | $155.93 | $210.91 | |
Medica
| Professional | $133.13 | $223.53 | $1,128.08 | |
United
| Professional | $127.01 | $163.72 | $247.89 |