| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.50 | $75.84 | $95.89 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Medica
| Facility | $49.84 | $87.71 | $133.72 | |
Medica
| Professional | $46.36 | $50.14 | $618.38 | |
United
| Professional | $46.36 | $50.14 | $71.93 |