| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $851.14 | |
Aetna
| Professional | $34.67 | $50.12 | $1,230.27 | |
Cigna
| Professional | $457.09 | $676.08 | $1,071.52 | |
Medica
| Facility | $58.88 | $58.88 | $58.88 | |
Medica
| Professional | $48.98 | $79.43 | $138.04 | |
United
| Professional | $39.81 | $69.18 | $104.71 |