| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $38.90 | $38.90 | |
Aetna
| Professional | $19.05 | $38.02 | $54.95 | |
Cigna
| Professional | $15.49 | $15.49 | $19.50 | |
Medica
| Facility | $26.92 | $39.81 | $52.48 | |
Medica
| Professional | $48.98 | $93.33 | $251.19 | |
United
| Professional | $28.84 | $75.86 | $158.49 |