| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $93.33 | $186.21 | |
Cigna
| Professional | $56.23 | $102.33 | $154.88 | |
Medica
| Professional | $75.86 | $104.71 | $758.58 | |
United
| Professional | $45.71 | $70.79 | $114.82 |