| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.50 | $52.50 | $52.50 | |
Aetna
| Professional | $49.49 | $59.37 | $76.94 | |
Cigna
| Facility | $108.11 | $209.44 | $268.98 | |
Medica
| Facility | $50.46 | $59.37 | $166.83 | |
Medica
| Professional | $53.06 | $66.37 | $564.65 | |
United
| Professional | $50.51 | $63.77 | $120.41 |