| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.28 | $78.28 | $82.28 | |
Cigna
| Professional | $108.38 | $109.46 | $137.63 | |
Medica
| Facility | $78.28 | $82.28 | $98.95 | |
Medica
| Professional | $37.22 | $39.43 | $529.40 | |
United
| Professional | $36.50 | $38.85 | $78.84 |