| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.41 | $48.41 | $48.41 | |
Aetna
| Professional | $48.41 | $48.41 | $48.41 | |
Cigna
| Facility | $135.54 | $135.54 | $135.54 | |
Medica
| Facility | $43.21 | $50.83 | $336.07 | |
Medica
| Professional | $46.01 | $68.54 | $550.08 | |
United
| Professional | $43.30 | $59.29 | $92.56 |