| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.36 | $152.33 | $180.71 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Medica
| Professional | $158.50 | $180.62 | $1,166.83 | |
United
| Professional | $152.69 | $178.11 | $270.73 |