| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.21 | $30.21 | $30.50 | |
Aetna
| Professional | $29.40 | $30.50 | $31.69 | |
Cigna
| Professional | $23.34 | $39.34 | $51.82 | |
Medica
| Facility | $26.62 | $32.70 | $74.11 | |
Medica
| Professional | $27.72 | $36.67 | $201.28 | |
United
| Professional | $26.68 | $34.65 | $54.71 |