| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.91 | $105.10 | $130.38 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $106.41 | $139.85 | $787.82 | |
United
| Professional | $104.81 | $133.11 | $178.36 |