| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.71 | $110.66 | $146.13 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medica
| Professional | $118.31 | $146.85 | $847.87 | |
United
| Professional | $114.91 | $146.85 | $218.26 |