| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.72 | $71.42 | $94.62 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Medica
| Facility | $44.32 | $83.72 | $122.96 | |
Medica
| Professional | $44.38 | $48.01 | $635.09 | |
United
| Professional | $44.38 | $48.01 | $68.87 |