| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.43 | $117.96 | $147.52 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $106.25 | $139.85 | $787.82 | |
United
| Professional | $106.25 | $137.55 | $179.29 |