| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.64 | $126.58 | $140.60 | |
Cigna
| Professional | $103.78 | $147.28 | $184.75 | |
Medica
| Professional | $106.55 | $136.41 | $880.77 | |
United
| Professional | $106.68 | $127.00 | $227.51 |