| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.34 | $91.15 | $236.98 | |
Aetna
| Professional | $55.24 | $60.76 | $91.15 | |
Medica
| Facility | $53.86 | $61.62 | $149.21 | |
Medica
| Professional | $62.44 | $85.75 | $372.64 | |
United
| Professional | $62.16 | $77.26 | $108.41 |