| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.56 | $160.18 | $165.91 | |
Cigna
| Professional | $111.29 | $186.01 | $254.38 | |
Medica
| Professional | $140.61 | $174.89 | $353.80 | |
United
| Professional | $140.61 | $171.38 | $241.66 |