| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $151.36 | $151.36 | |
Aetna
| Professional | $53.70 | $87.10 | $162.18 | |
Cigna
| Professional | $67.61 | $67.61 | $85.11 | |
Medica
| Facility | $77.62 | $123.03 | $257.04 | |
Medica
| Professional | $52.48 | $89.13 | $512.86 | |
United
| Professional | $54.95 | $79.43 | $407.38 |