| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.53 | $49.53 | $49.53 | |
Aetna
| Professional | $23.83 | $38.07 | $51.70 | |
Cigna
| Professional | $38.69 | $38.69 | $38.69 | |
Medica
| Facility | $42.06 | $54.48 | $86.46 | |
Medica
| Professional | $36.20 | $48.98 | $96.85 | |
United
| Professional | $35.75 | $46.88 | $76.45 |