| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.36 | $34.36 | $34.36 | |
Aetna
| Professional | $23.97 | $34.36 | $44.33 | |
Cigna
| Professional | $76.20 | $76.20 | $76.20 | |
Medica
| Facility | $32.65 | $34.71 | $46.40 | |
Medica
| Professional | $39.49 | $54.27 | $248.34 | |
United
| Professional | $43.32 | $55.55 | $100.28 |