| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.89 | $193.21 | $249.43 | |
Cigna
| Professional | $127.46 | $219.36 | $332.70 | |
Medica
| Professional | $193.04 | $271.47 | $1,692.80 | |
United
| Professional | $190.20 | $246.14 | $358.69 |