| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $165.96 | $204.17 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Medica
| Professional | $147.91 | $190.55 | $1,096.48 | |
United
| Professional | $147.91 | $186.21 | $251.19 |