| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.41 | $107.07 | $116.07 | |
Cigna
| Professional | $73.04 | $130.43 | $170.66 | |
Medica
| Professional | $85.75 | $107.88 | $215.77 | |
United
| Professional | $80.39 | $101.83 | $149.07 |