| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.92 | $105.64 | $105.64 | |
Cigna
| Professional | $146.25 | $147.71 | $185.74 | |
Medica
| Facility | $88.92 | $88.92 | $126.13 | |
Medica
| Professional | $42.61 | $51.13 | $636.12 | |
United
| Professional | $41.77 | $42.61 | $53.35 |