| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.74 | $112.79 | $504.00 | |
Cigna
| Professional | $104.38 | $153.38 | $193.27 | |
Medica
| Professional | $102.82 | $135.09 | $278.14 | |
United
| Professional | $105.27 | $134.40 | $202.48 |