| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.84 | $155.24 | $155.24 | |
Cigna
| Professional | $123.73 | $163.89 | $200.44 | |
Medica
| Professional | $114.00 | $161.28 | $1,156.83 | |
United
| Professional | $101.34 | $139.34 | $199.49 |