| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $44.67 | $69.18 | |
Aetna
| Professional | $36.31 | $37.15 | $44.67 | |
Cigna
| Professional | $38.90 | $40.74 | $52.48 | |
Medica
| Facility | $36.31 | $38.90 | $61.66 | |
Medica
| Professional | $38.02 | $42.66 | $47.86 | |
United
| Professional | $38.02 | $38.90 | $45.71 |