| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.44 | $80.09 | $103.97 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Medica
| Facility | $47.35 | $94.46 | $131.38 | |
Medica
| Professional | $47.41 | $51.28 | $553.72 | |
United
| Professional | $46.34 | $51.28 | $73.56 |