| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.11 | $44.11 | $84.37 | |
Aetna
| Professional | $44.11 | $55.14 | $55.14 | |
Cigna
| Professional | $40.09 | $40.49 | $50.11 | |
Medica
| Facility | $14.55 | $44.11 | $74.98 | |
Medica
| Professional | $45.95 | $45.95 | $49.90 | |
United
| Professional | $39.06 | $45.95 | $49.90 |