| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $50.12 | $56.23 | $81.28 | |
Cigna
| Professional | $56.23 | $77.62 | $123.03 | |
Medica
| Facility | $51.29 | $61.66 | $131.83 | |
Medica
| Professional | $58.88 | $75.86 | $407.38 | |
United
| Professional | $54.95 | $70.79 | $104.71 |