| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.40 | $102.40 | $114.75 |
Aetna
| Professional | $313.82 | $372.49 | $429.66 | |
Cigna
| Professional | $281.56 | $453.32 | $627.25 | |
Medica
| Facility | 26 | $261.33 | $496.55 | $496.55 |
Medica
| Professional | $299.25 | $428.36 | $2,594.32 | |
United
| Professional | $285.95 | $386.13 | $658.82 |