| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.65 | $120.80 | $171.40 | |
Cigna
| Professional | $42.86 | $127.24 | $232.37 | |
Medica
| Professional | $120.45 | $182.95 | $1,196.56 | |
United
| Professional | $120.45 | $160.60 | $255.35 |