| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.28 | $109.79 | $131.37 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Medica
| Professional | $117.38 | $147.79 | $847.87 | |
United
| Professional | $114.91 | $147.79 | $218.26 |