| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.41 | $178.81 | $223.42 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Medica
| Professional | $183.04 | $240.22 | $1,338.62 | |
United
| Professional | $181.02 | $237.50 | $306.25 |