| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.26 | $38.26 | $38.26 | |
Aetna
| Professional | $33.01 | $39.35 | $48.48 | |
Cigna
| Professional | $100.99 | $100.99 | $100.99 | |
Medica
| Facility | $37.54 | $38.64 | $54.99 | |
Medica
| Professional | $42.22 | $56.29 | $280.19 | |
United
| Professional | $41.35 | $54.27 | $98.88 |