| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $141.25 | $162.18 | |
Cigna
| Professional | $239.88 | $251.19 | $302.00 | |
Medica
| Facility | $141.25 | $141.25 | $239.88 | |
Medica
| Professional | $56.23 | $70.79 | $1,071.52 | |
United
| Professional | $66.07 | $66.07 | $134.90 |