| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $151.36 | $186.21 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Medica
| Professional | $144.54 | $190.55 | $1,096.48 | |
United
| Professional | $144.54 | $186.21 | $245.47 |