| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.89 | $198.86 | $266.26 | |
Cigna
| Professional | $228.00 | $230.28 | $289.56 | |
Medica
| Professional | $226.28 | $412.64 | $1,338.62 | |
United
| Professional | $226.28 | $387.18 | $550.49 |