| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.15 | $33.15 | $33.15 | |
Aetna
| Professional | $23.72 | $38.18 | $42.50 | |
Medica
| Facility | $32.13 | $34.82 | $195.30 | |
Medica
| Professional | $36.54 | $46.24 | $262.88 | |
United
| Professional | $35.22 | $44.03 | $66.73 |