| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.27 | $171.22 | $249.94 | |
Cigna
| Professional | $122.02 | $207.25 | $331.00 | |
Medica
| Professional | $181.48 | $262.51 | $1,632.40 | |
United
| Professional | $173.14 | $226.07 | $338.54 |