| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.10 | $102.33 | $169.82 |
Aetna
| Professional | $112.20 | $138.04 | $275.42 | |
Anthem BCBS
| Professional | $112.20 | $141.25 | $275.42 | |
BCBS
| Professional | $120.23 | $123.03 | $194.98 | |
Cigna
| Professional | $95.50 | $141.25 | $251.19 | |
Medica
| Facility | 26 | $128.82 | $295.12 | $295.12 |
Medica
| Professional | $114.82 | $158.49 | $1,548.82 | |
United
| Professional | $109.65 | $138.04 | $204.17 |