| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.75 | $44.75 | $80.31 |
Aetna
| Professional | $156.12 | $221.68 | $245.83 | |
Cigna
| Professional | $187.89 | $211.42 | $319.91 | |
Medica
| Facility | 26 | $129.58 | $252.81 | $252.81 |
Medica
| Professional | $207.99 | $271.29 | $508.96 | |
United
| Professional | $195.75 | $264.27 | $371.81 |