| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $234.42 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Medica
| Professional | $181.97 | $239.88 | $1,348.96 | |
United
| Professional | $181.97 | $229.09 | $309.03 |