| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.62 | $96.79 | $132.63 | |
Cigna
| Professional | $84.35 | $127.34 | $159.82 | |
Medica
| Professional | $89.88 | $121.18 | $3,176.85 | |
United
| Professional | $84.59 | $108.91 | $160.72 |