| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.62 | $70.78 | $70.78 | |
Cigna
| Professional | $97.88 | $98.85 | $124.30 | |
Medica
| Facility | $69.62 | $69.62 | $84.50 | |
Medica
| Professional | $32.22 | $35.13 | $434.11 | |
United
| Professional | $30.27 | $33.36 | $104.78 |