| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.03 | $45.26 | $77.70 |
Aetna
| Professional | $81.98 | $94.24 | $328.26 | |
Anthem BCBS
| Professional | $93.67 | $118.98 | $200.19 | |
Cigna
| Professional | $78.62 | $119.49 | $212.48 | |
Medica
| Facility | 26 | $89.32 | $169.56 | $169.56 |
Medica
| Professional | $92.46 | $126.44 | $767.00 | |
United
| Professional | $87.79 | $111.54 | $183.61 |