| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $109.65 | $151.36 | |
Cigna
| Professional | $102.33 | $147.91 | $239.88 | |
Medica
| Professional | $97.72 | $128.82 | $691.83 | |
United
| Professional | $91.20 | $114.82 | $181.97 |