| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.51 | $152.04 | $180.38 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Medica
| Professional | $161.15 | $191.85 | $1,164.67 | |
United
| Professional | $157.35 | $191.85 | $298.87 |