| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.00 | $26.00 | $26.00 | |
Aetna
| Professional | $26.00 | $31.50 | $38.38 | |
Cigna
| Professional | $18.97 | $42.42 | $53.34 | |
Medica
| Facility | $26.00 | $36.10 | $64.59 | |
Medica
| Professional | $25.00 | $46.80 | $149.71 | |
United
| Professional | $23.99 | $45.00 | $61.72 |