| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $158.49 | $208.93 | |
Cigna
| Professional | $295.12 | $309.03 | $371.54 | |
Medica
| Facility | $141.25 | $158.49 | $269.15 | |
Medica
| Professional | $63.10 | $79.43 | $1,258.93 | |
United
| Professional | $74.13 | $74.13 | $151.36 |