| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.78 | $57.78 | $109.34 | |
Aetna
| Professional | $42.79 | $48.15 | $109.34 | |
Cigna
| Professional | $46.20 | $58.44 | $88.25 | |
Medica
| Facility | $32.78 | $57.78 | $116.99 | |
Medica
| Professional | $49.64 | $67.28 | $293.12 | |
United
| Professional | $47.28 | $62.10 | $92.20 |