| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.59 | $71.11 | $86.00 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
Medica
| Facility | $43.96 | $86.95 | $121.98 | |
Medica
| Professional | $43.10 | $46.62 | $529.40 | |
United
| Professional | $43.10 | $46.62 | $66.88 |