| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.27 | $95.74 | $130.16 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Medica
| Facility | $66.95 | $114.35 | $163.52 | |
Medica
| Professional | $59.50 | $64.36 | $713.52 | |
United
| Professional | $58.16 | $64.36 | $92.33 |