| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.04 | $116.61 | $155.25 | |
Cigna
| Professional | $135.00 | $136.35 | $171.45 | |
Medica
| Professional | $131.01 | $240.41 | $787.82 | |
United
| Professional | $131.01 | $231.89 | $320.19 |