| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.86 | $199.74 | $251.63 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Medica
| Professional | $182.18 | $240.22 | $1,338.62 | |
United
| Professional | $182.18 | $235.98 | $315.86 |