| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.61 | $17.61 | $17.82 |
Aetna
| Professional | $59.14 | $63.31 | $88.16 | |
Cigna
| Professional | $68.72 | $89.82 | $116.51 | |
Medica
| Facility | 26 | $42.94 | $100.00 | $100.00 |
Medica
| Professional | $61.74 | $81.73 | $714.00 | |
United
| Professional | $58.61 | $76.92 | $115.42 |