| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $40.74 | $45.71 | |
Medica
| Facility | $27.54 | $36.31 | $43.65 | |
Medica
| Professional | $33.88 | $42.66 | $83.18 | |
United
| Facility | $40.74 | $40.74 | $40.74 | |
United
| Professional | $33.88 | $38.90 | $54.95 |