| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.95 | $108.66 | $108.66 | |
Cigna
| Professional | $150.38 | $151.88 | $190.98 | |
Medica
| Facility | $100.95 | $102.87 | $129.72 | |
Medica
| Professional | $48.37 | $53.94 | $747.84 | |
United
| Professional | $47.42 | $48.37 | $60.57 |