| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.65 | $75.91 | $100.96 | |
Cigna
| Professional | $86.63 | $87.49 | $110.01 | |
Medica
| Professional | $85.53 | $156.36 | $510.91 | |
United
| Professional | $85.53 | $153.84 | $215.04 |