| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.34 | $50.34 | $50.34 | |
Aetna
| Professional | $50.34 | $50.34 | $64.91 | |
Cigna
| Facility | $135.54 | $135.54 | $135.54 | |
Medica
| Facility | $43.85 | $62.72 | $4,073.00 | |
Medica
| Professional | $39.84 | $52.80 | $97.82 | |
United
| Facility | $350.00 | $1,760.00 | $7,223.00 | |
United
| Professional | $38.40 | $48.00 | $70.50 |