| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.37 | $118.24 | $118.24 | |
Cigna
| Professional | $163.50 | $165.14 | $207.65 | |
Medica
| Facility | $117.37 | $118.24 | $141.16 | |
Medica
| Professional | $56.24 | $58.69 | $851.58 | |
United
| Professional | $55.14 | $56.24 | $70.42 |