| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.59 | $41.59 | $41.59 | |
Aetna
| Professional | $41.59 | $43.33 | $120.00 | |
Cigna
| Professional | $43.49 | $56.66 | $72.87 | |
Medica
| Facility | $37.11 | $43.25 | $106.02 | |
Medica
| Professional | $40.19 | $54.16 | $95.17 | |
United
| Professional | $39.24 | $52.60 | $83.32 |