| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.15 | $200.91 | $241.81 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Medica
| Professional | $192.32 | $246.58 | $1,561.80 | |
United
| Professional | $192.32 | $234.54 | $342.38 |