| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.67 | $69.26 | $69.26 | |
Cigna
| Professional | $96.00 | $96.96 | $121.92 | |
Medica
| Facility | $68.67 | $68.67 | $82.69 | |
Medica
| Professional | $32.04 | $34.38 | $463.78 | |
United
| Professional | $30.11 | $38.45 | $102.54 |