| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $39.81 | $72.44 | |
Aetna
| Professional | $25.12 | $37.15 | $48.98 | |
Cigna
| Professional | $72.44 | $85.11 | $190.55 | |
Medica
| Facility | $26.92 | $58.88 | $75.86 | |
Medica
| Professional | $30.90 | $69.18 | $281.84 | |
United
| Professional | $29.51 | $57.54 | $93.33 |