| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $25.12 | $30.90 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
Medica
| Facility | $21.38 | $28.18 | $38.90 | |
Medica
| Professional | $28.18 | $43.65 | $162.18 | |
United
| Professional | $23.99 | $36.31 | $63.10 |