| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.19 | $44.21 | $64.39 | |
Aetna
| Professional | $24.00 | $38.22 | $46.01 | |
Medica
| Facility | $40.19 | $40.19 | $184.67 | |
Medica
| Professional | $29.88 | $39.54 | $280.19 | |
United
| Professional | $29.59 | $38.92 | $59.39 |