| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.08 | $68.08 | $68.08 | |
Aetna
| Professional | $41.22 | $68.08 | $99.63 | |
Cigna
| Professional | $21.75 | $27.19 | $27.62 | |
Medica
| Facility | $57.87 | $76.67 | $107.19 | |
Medica
| Professional | $94.46 | $184.94 | $442.64 | |
United
| Professional | $82.29 | $182.06 | $298.14 |