| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.34 | $35.34 | $43.70 | |
Aetna
| Professional | $20.00 | $35.34 | $43.70 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Medica
| Facility | $28.50 | $39.22 | $85.52 | |
Medica
| Professional | $23.65 | $37.88 | $149.71 | |
United
| Professional | $24.00 | $33.75 | $63.52 |