| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.79 | $106.63 | $106.63 | |
Cigna
| Professional | $147.75 | $149.22 | $187.64 | |
Medica
| Facility | $86.79 | $86.79 | $127.30 | |
Medica
| Professional | $41.59 | $50.72 | $794.30 | |
United
| Professional | $39.85 | $41.59 | $83.18 |