| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $89.47 | $89.47 | $145.01 |
Aetna
| Professional | $133.50 | $172.36 | $301.00 | |
BCBS
| Professional | $361.87 | $460.08 | $482.49 | |
Cigna
| Facility | 26 | $96.73 | $96.73 | $96.73 |
Cigna
| Professional | $173.89 | $322.67 | $500.30 | |
Medica
| Professional | $202.46 | $371.18 | $1,243.70 | |
United
| Professional | $202.46 | $364.43 | $457.17 |