| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.99 | $166.70 | $204.64 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Medica
| Professional | $147.54 | $194.12 | $1,090.08 | |
United
| Professional | $147.54 | $193.64 | $247.77 |