| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.94 | $56.67 | $75.56 | |
Aetna
| Professional | $42.09 | $68.81 | $171.73 | |
Aetna
| Professional | 25 | $63.70 | $161.85 | $184.50 |
Cigna
| Professional | $64.81 | $118.05 | $185.75 | |
Medica
| Facility | $48.37 | $75.56 | $124.60 | |
Medica
| Professional | $74.42 | $141.40 | $302.33 | |
Medica
| Professional | 25 | $110.22 | $141.30 | $186.44 |
United
| Professional | $72.48 | $138.61 | $197.14 |