| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.45 | $56.45 | $96.10 |
Aetna
| Professional | $206.46 | $242.83 | $261.99 | |
BCBS
| Professional | $483.81 | $526.19 | $621.71 | |
Cigna
| Professional | $254.68 | $388.07 | $665.32 | |
Medica
| Professional | $244.69 | $448.46 | $1,574.10 | |
United
| Professional | $244.69 | $448.46 | $611.04 |