| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.95 | $71.16 | $96.60 |
Aetna
| Professional | $62.69 | $88.51 | $140.37 | |
BCBS
| Professional | $61.66 | $70.47 | $88.09 | |
Cigna
| Facility | 26 | $25.82 | $25.82 | $25.82 |
Cigna
| Professional | $67.77 | $102.72 | $195.72 | |
Medica
| Facility | 26 | $102.96 | $102.96 | $102.96 |
Medica
| Professional | $76.56 | $100.25 | $758.00 | |
United
| Professional | $76.48 | $92.75 | $152.91 |