| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $59.34 | $59.34 | $95.81 |
Aetna
| Professional | $108.89 | $123.20 | $187.28 | |
BCBS
| Professional | $223.56 | $275.88 | $289.32 | |
Cigna
| Facility | 26 | $64.00 | $64.00 | $64.00 |
Cigna
| Professional | $127.93 | $216.96 | $298.61 | |
Medica
| Professional | $123.43 | $222.23 | $759.56 | |
United
| Professional | $123.43 | $209.88 | $297.55 |