| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $44.67 | $56.23 | |
Cigna
| Professional | $66.07 | $69.18 | $83.18 | |
Medica
| Facility | $40.74 | $56.23 | $75.86 | |
Medica
| Professional | $17.78 | $26.92 | $338.84 | |
United
| Professional | $17.78 | $20.89 | $53.70 |