| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $63.10 | $77.62 | |
Aetna
| Professional | $57.54 | $114.82 | $186.21 | |
Cigna
| Professional | $57.54 | $72.44 | $181.97 | |
Medica
| Facility | $63.10 | $107.15 | $138.04 | |
Medica
| Professional | $75.86 | $138.04 | $524.81 | |
United
| Professional | $66.07 | $125.89 | $162.18 |