| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.47 | $21.98 | $123.80 |
Aetna
| Professional | $56.80 | $75.84 | $98.79 | |
BCBS
| Professional | $23.10 | $82.25 | $112.94 | |
Cigna
| Facility | 26 | $21.48 | $21.48 | $34.43 |
Cigna
| Professional | $64.95 | $79.88 | $142.86 | |
Medica
| Facility | 26 | $53.41 | $102.96 | $102.96 |
Medica
| Professional | $76.56 | $92.84 | $758.00 | |
United
| Professional | $76.56 | $88.11 | $139.13 |