| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.38 | $161.40 | $215.25 | |
Cigna
| Professional | $189.75 | $191.65 | $240.98 | |
Medica
| Professional | $182.61 | $333.30 | $1,090.08 | |
United
| Professional | $195.25 | $341.48 | $470.75 |