| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.06 | $63.06 | $63.06 | |
Aetna
| Professional | $30.88 | $46.69 | $63.06 | |
Cigna
| Professional | $43.15 | $43.15 | $43.15 | |
Medica
| Facility | $44.13 | $63.06 | $79.29 | |
Medica
| Professional | $45.62 | $59.87 | $336.96 | |
United
| Professional | $45.34 | $58.90 | $79.09 |