| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.74 | $169.44 | $188.72 | |
Cigna
| Professional | $153.05 | $174.64 | $270.18 | |
Medica
| Professional | $165.05 | $200.96 | $451.99 | |
United
| Professional | $159.08 | $188.91 | $368.40 |