| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.62 | $23.62 | $38.75 |
Aetna
| Professional | $69.06 | $86.33 | $108.66 | |
BCBS
| Professional | $159.78 | $197.18 | $206.79 | |
Cigna
| Facility | 26 | $25.82 | $25.82 | $25.82 |
Cigna
| Professional | $59.53 | $129.68 | $213.04 | |
Medica
| Professional | $92.75 | $184.68 | $758.00 | |
United
| Professional | $92.75 | $169.73 | $231.40 |