| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.18 | $85.11 | $123.03 |
Aetna
| Professional | $107.15 | $138.04 | $281.84 | |
BCBS
| Professional | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $95.50 | $125.89 | $223.87 | |
Medica
| Facility | 26 | $128.82 | $128.82 | $128.82 |
Medica
| Professional | $117.49 | $154.88 | $1,548.82 | |
United
| Professional | $117.49 | $138.04 | $208.93 |