| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $81.28 | $97.72 | |
Cigna
| Professional | $74.13 | $109.65 | $138.04 | |
Medica
| Professional | $97.72 | $177.83 | $616.60 | |
United
| Professional | $79.43 | $120.23 | $194.98 |