| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $39.81 | $81.28 | |
Aetna
| Professional | $38.02 | $40.74 | $64.57 | |
Cigna
| Professional | $38.02 | $38.02 | $47.86 | |
Medica
| Facility | $40.74 | $54.95 | $120.23 | |
Medica
| Professional | $38.90 | $42.66 | $42.66 | |
United
| Professional | $38.90 | $43.65 | $43.65 |