| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.13 | $88.45 | $106.63 | |
Cigna
| Professional | $48.97 | $48.97 | $48.97 | |
Medica
| Facility | $61.29 | $96.94 | $148.81 | |
Medica
| Professional | $47.06 | $50.90 | $794.30 | |
United
| Professional | $47.06 | $50.90 | $73.02 |