| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.06 | $76.83 | $78.68 | |
Cigna
| Professional | $79.53 | $79.53 | $79.53 | |
Medica
| Facility | $81.77 | $92.57 | $96.73 | |
Medica
| Professional | $87.94 | $92.57 | $98.12 | |
United
| Professional | $92.57 | $92.57 | $99.20 |