| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $81.28 | $154.88 | $234.42 |
Aetna
| Professional | $147.91 | $234.42 | $302.00 | |
BCBS
| Professional | $112.20 | $112.20 | $257.04 | |
Cigna
| Professional | $162.18 | $234.42 | $380.19 | |
Medica
| Facility | 26 | $173.78 | $173.78 | $173.78 |
Medica
| Professional | $213.80 | $245.47 | $1,548.82 | |
United
| Professional | $213.80 | $239.88 | $363.08 |