| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $43.65 | $56.23 | |
Aetna
| Professional | $28.18 | $43.65 | $54.95 | |
Cigna
| Professional | $39.81 | $39.81 | $50.12 | |
Medica
| Facility | $14.45 | $43.65 | $74.13 | |
Medica
| Professional | $45.71 | $45.71 | $50.12 | |
United
| Professional | $38.90 | $45.71 | $51.29 |