| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.83 | $43.76 | $56.96 |
Aetna
| Professional | $88.90 | $101.19 | $668.46 | |
Anthem BCBS
| Professional | $106.16 | $135.40 | $464.62 | |
Cigna
| Facility | 26 | $29.00 | $29.00 | $29.00 |
Cigna
| Professional | $83.73 | $168.45 | $597.66 | |
Medica
| Facility | 26 | $59.24 | $277.13 | $277.13 |
Medica
| Professional | $113.33 | $199.39 | $2,945.80 | |
United
| Professional | $105.56 | $148.35 | $508.34 |