| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.19 | $34.19 | $64.68 | |
Aetna
| Professional | $25.45 | $28.49 | $64.68 | |
Cigna
| Professional | $27.34 | $34.99 | $55.37 | |
Medica
| Facility | $25.76 | $37.50 | $70.50 | |
Medica
| Professional | $29.56 | $40.06 | $175.44 | |
United
| Professional | $29.12 | $37.00 | $54.88 |