| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $575.44 | $933.25 | |
Cigna
| Professional | $93.33 | $676.08 | $954.99 | |
Medica
| Professional | $602.56 | $831.76 | $4,786.30 | |
United
| Professional | $77.62 | $323.59 | $912.01 |