| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $43.65 | |
Aetna
| Professional | $25.70 | $41.69 | $53.70 | |
Cigna
| Professional | $15.49 | $15.49 | $19.50 | |
Medica
| Facility | $26.92 | $43.65 | $69.18 | |
Medica
| Professional | $51.29 | $95.50 | $281.84 | |
United
| Professional | $38.90 | $83.18 | $181.97 |