| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.68 | $61.42 | $92.34 | |
Aetna
| Professional | $6.06 | $7.54 | $15.08 | |
Cigna
| Professional | $9.91 | $10.01 | $12.59 | |
Medica
| Facility | $10.30 | $46.63 | $100.00 | |
Medica
| Professional | $4.33 | $10.38 | $21.42 | |
United
| Professional | $3.63 | $10.38 | $12.11 |