| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.37 | $34.51 | $50.26 | |
Aetna
| Professional | $6.48 | $9.74 | $31.37 | |
Cigna
| Facility | $28.37 | $28.37 | $31.45 | |
Medica
| Facility | $28.23 | $31.37 | $70.00 | |
Medica
| Professional | $7.47 | $10.52 | $153.85 | |
United
| Professional | $7.41 | $9.74 | $16.64 |