| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.43 | $41.17 | $59.97 | |
Aetna
| Professional | $18.48 | $28.68 | $38.96 | |
Cigna
| Facility | $233.47 | $233.47 | $310.39 | |
Medica
| Facility | $37.43 | $39.29 | $142.32 | |
Medica
| Professional | $22.41 | $29.99 | $237.52 | |
United
| Professional | $22.21 | $27.84 | $49.95 |