| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.25 | $109.58 | $146.78 | |
Cigna
| Professional | $107.30 | $144.31 | $176.63 | |
Medica
| Professional | $103.34 | $130.74 | $779.72 | |
United
| Professional | $99.61 | $124.51 | $165.10 |