| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $354.81 | $389.05 | |
Aetna
| Professional | $34.67 | $50.12 | $562.34 | |
Cigna
| Professional | $354.81 | $457.09 | $512.86 | |
Medica
| Facility | $85.11 | $85.11 | $3,715.35 | |
Medica
| Professional | $50.12 | $64.57 | $1,584.89 | |
United
| Professional | $44.67 | $60.26 | $89.13 | |
Wellmark
| Professional | $354.81 | $446.68 | $575.44 |