| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.08 | $87.08 | $87.08 | |
Cigna
| Professional | $120.38 | $121.58 | $152.88 | |
Medica
| Facility | $78.08 | $78.08 | $103.96 | |
Medica
| Professional | $37.40 | $43.22 | $710.69 | |
United
| Professional | $35.50 | $37.40 | $74.81 |