| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.33 | $169.82 | $275.42 | |
Cigna
| Professional | $117.49 | $208.93 | $354.81 | |
Medica
| Professional | $199.53 | $257.04 | $1,479.11 | |
United
| Professional | $102.33 | $186.21 | $288.40 |