| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.45 | $12.08 | $12.08 |
Aetna
| Professional | $46.59 | $48.24 | $69.42 | |
Cigna
| Professional | $53.17 | $67.59 | $89.11 | |
Medica
| Facility | 26 | $28.91 | $169.20 | $169.20 |
Medica
| Professional | $45.70 | $64.69 | $452.94 | |
United
| Professional | $44.27 | $57.23 | $95.40 |