| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.27 | $83.64 | $103.43 | |
Cigna
| Professional | $52.10 | $75.06 | $115.26 | |
Medica
| Professional | $77.23 | $129.69 | $1,193.03 | |
United
| Professional | $73.26 | $96.53 | $145.63 |