| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.74 | $134.54 | $146.13 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Medica
| Professional | $142.37 | $170.85 | $943.35 | |
United
| Professional | $136.31 | $165.15 | $241.08 |